| Emily Tabor Counseling, Pllc | |
|
160 Nw Gilman Blvd Ste 443 Issaquah WA 98027-2550 | |
| (206) 403-8527 | |
| Not Available |
| Full Name | Emily Tabor Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 160 Nw Gilman Blvd Ste 443, Issaquah, Washington |
| Authorized Official Name and Position | Emily Ann Tabor (LICSW, BUSINESS OWNER) |
| Authorized Official Contact | 2064038527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Tabor Counseling, Pllc Po Box 1247 Maple Valley WA 98038-1247 Ph: (206) 403-8527 | Emily Tabor Counseling, Pllc 160 Nw Gilman Blvd Ste 443 Issaquah WA 98027-2550 Ph: (206) 403-8527 |
| NPI Number | 1467029512 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 2365847035 |
|---|---|
| Medicare Enrollment ID | O20210818001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467029512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Emily Ann Tabor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841866373 PECOS PAC ID: 3274938949 Enrollment ID: I20210818001369 |
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