| Upper Skagit Tribal Mental Healthclinic | |
|
25959 Community Plaza Way Sedro Woolley WA 98284-9721 | |
| (360) 854-7070 | |
| Not Available |
| Full Name | Upper Skagit Tribal Mental Healthclinic |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 25959 Community Plaza Way, Sedro Woolley, Washington |
| Authorized Official Name and Position | Marilyn M Scott (DIRECTOR OF HEALTH & SOCIAL SERVICE) |
| Authorized Official Contact | 3608547065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Skagit Tribal Mental Healthclinic 25944 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 | Upper Skagit Tribal Mental Healthclinic 25959 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 |
| NPI Number | 1821259821 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821259821 | NPI | - | NPPES |
| 6960FE | Other | WA | REGENCE BLUE SHIELD |
| 1981323 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00008445 (Washington) | Secondary |
| 103TC1900X | Psychologist - Counseling | LH00008445 (Washington) | Primary |
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Upper Skagit Tribal Cd Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25959 Community Plaza Way, Sedro Woolley, WA 98284 Phone: 360-854-7070 Fax: 360-854-7060 | |
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Upper Skagit Tribal Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25959 Community Plaza Way, Sedro Woolley, WA 98284 Phone: 360-854-7070 Fax: 360-854-7060 | |
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