| Blackburn And Goodheart | |
|
101 Central St Omak WA 98841-1025 | |
| (011) 476-3988 | |
| Not Available |
| Full Name | Blackburn And Goodheart |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Central St, Omak, Washington |
| Authorized Official Name and Position | Matthew Francis Goodheart (CLINICAL DIRECTOR) |
| Authorized Official Contact | 0114763988777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackburn And Goodheart Po Box 1025 Omak WA 98841-1025 Ph: () - | Blackburn And Goodheart 101 Central St Omak WA 98841-1025 Ph: (011) 476-3988 |
| NPI Number | 1417088642 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417088642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LW00004955 (Washington) | Primary |
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