| Wonderful Christian Counseling Pllc | |
|
13116 Se 306th Pl Auburn WA 98092-3406 | |
| (206) 802-5965 | |
| Not Available |
| Full Name | Wonderful Christian Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 13116 Se 306th Pl, Auburn, Washington |
| Authorized Official Name and Position | Carolyn Yvonne Edwards (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2068025965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderful Christian Counseling Pllc 13116 Se 306th Pl Auburn WA 98092-3406 Ph: (206) 802-5965 | Wonderful Christian Counseling Pllc 13116 Se 306th Pl Auburn WA 98092-3406 Ph: (206) 802-5965 |
| NPI Number | 1396503280 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 3375080385 |
|---|---|
| Medicare Enrollment ID | O20240807003045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396503280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carolyn Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881056141 PECOS PAC ID: 7618414632 Enrollment ID: I20240912002092 |
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