| Ccc Pllc | |
|
843 6th St Ste 220 Bremerton WA 98337-1439 | |
| (360) 328-1233 | |
| Not Available |
| Full Name | Ccc Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 843 6th St Ste 220, Bremerton, Washington |
| Authorized Official Name and Position | Keiko Sano (OWNER) |
| Authorized Official Contact | 3603281233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccc Pllc 843 6th St Ste 220 Bremerton WA 98337-1439 Ph: () - | Ccc Pllc 843 6th St Ste 220 Bremerton WA 98337-1439 Ph: (360) 328-1233 |
| NPI Number | 1144816612 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144816612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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