| Swinomish Wellness Program | |
|
17337 Reservation Rd La Conner WA 98257-8802 | |
| (360) 466-1024 | |
| (360) 466-7634 |
| Full Name | Swinomish Wellness Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 17337 Reservation Rd, La Conner, Washington |
| Authorized Official Name and Position | Jennifer Martin (BILLER) |
| Authorized Official Contact | 3605882735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swinomish Wellness Program 17337 Reservation Rd La Conner WA 98257-8802 Ph: (360) 466-1024 | Swinomish Wellness Program 17337 Reservation Rd La Conner WA 98257-8802 Ph: (360) 466-1024 |
| NPI Number | 1235689381 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235689381 | NPI | - | NPPES |
| CP60166467 | Other | WA | WASHINGTON STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60166467 (Washington) | Primary |
Clinical And Neuropsychological Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 87 Swinomish Dr, La Conner, WA 98257 Phone: 206-321-9391 | |
Swinomish Tribal Community Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17395 Reservation Rd, La Conner, WA 98257 Phone: 360-466-1275 Fax: 360-466-7301 |