| |
102 E Highland Dr Arlington WA 98223-1517 | |
(425) 760-6534 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 102 E Highland Dr, Arlington, Washington |
Authorized Official Name and Position | Daniel Richard Roberson (CLINICAL DIRECTOR) |
Authorized Official Contact | 3602308482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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13431 56th Dr Ne Marysville WA 98271-7758 Ph: (360) 230-8482 | 102 E Highland Dr Arlington WA 98223-1517 Ph: (425) 760-6534 |
NPI Number | 1124757414 |
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Provider Enumeration Date | 06/10/2022 |
Last Update Date | 03/20/2024 |
Certification Date | 03/20/2024 |
Medicare PECOS PAC ID | 9638511199 |
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Medicare Enrollment ID | O20240529002768 |
Identifier | Type | State | Issuer |
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1124757414 | NPI | - | NPPES |
Provider Name | Daniel Richard Roberson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659040368 PECOS PAC ID: 0547602005 Enrollment ID: I20241025003222 |
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