| John O'neill, Licsw, Pllc | |
|
7 S Howard St Ste 428 Spokane WA 99201-3816 | |
| (509) 993-3555 | |
| Not Available |
| Full Name | John O'neill, Licsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 S Howard St Ste 428, Spokane, Washington |
| Authorized Official Name and Position | John O'neill (OWNER) |
| Authorized Official Contact | 5099933555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John O'neill, Licsw, Pllc 2416 S Monroe St Spokane WA 99203-1271 Ph: (509) 993-3555 | John O'neill, Licsw, Pllc 7 S Howard St Ste 428 Spokane WA 99201-3816 Ph: (509) 993-3555 |
| NPI Number | 1366108292 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 1759737422 |
|---|---|
| Medicare Enrollment ID | O20231101001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366108292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | John C O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376978353 PECOS PAC ID: 2567693500 Enrollment ID: I20140315000252 |
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