| Counseling Centers Of North Puget Sound | |
|
1306 Lake View Ave Snohomish WA 98290-1844 | |
| (360) 568-8737 | |
| (360) 568-1654 |
| Full Name | Counseling Centers Of North Puget Sound |
|---|---|
| Speciality | Counselor |
| Location | 1306 Lake View Ave, Snohomish, Washington |
| Authorized Official Name and Position | Douglas P Chandler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3607089595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Centers Of North Puget Sound 1306b Lake View Ave Snohomish WA 98290-1844 Ph: (360) 568-8737 | Counseling Centers Of North Puget Sound 1306 Lake View Ave Snohomish WA 98290-1844 Ph: (360) 568-8737 |
| NPI Number | 1376673566 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 3375433741 |
|---|---|
| Medicare Enrollment ID | O20040318000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376673566 | NPI | - | NPPES |
| PR2525 | Other | WA | BCBS GROUP PIN |
| 002915001 | Other | WA | GROUP HEALTH GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 601249571 (Washington) | Primary |
| Provider Name | Douglas P Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952493306 PECOS PAC ID: 1759468671 Enrollment ID: I20080402000664 |
| Provider Name | Diane E Nash Mcferon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265535595 PECOS PAC ID: 1850368267 Enrollment ID: I20080630000150 |
| Provider Name | Hillary Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881853794 PECOS PAC ID: 4183869696 Enrollment ID: I20130403000316 |
| Provider Name | Clayton D Peet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073560843 PECOS PAC ID: 2163426057 Enrollment ID: I20140811002167 |
| Provider Name | Cheryl Ann Iler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902260177 PECOS PAC ID: 8224489893 Enrollment ID: I20240108004805 |
| Provider Name | Constance M Stevenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306382957 PECOS PAC ID: 1850744350 Enrollment ID: I20240131004486 |
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