| Living Well Counseling And Psychotherapy Services, Llc | |
|
105 M St Ne Auburn WA 98002-4430 | |
| (253) 640-0499 | |
| (253) 887-7620 |
| Full Name | Living Well Counseling And Psychotherapy Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 105 M St Ne, Auburn, Washington |
| Authorized Official Name and Position | Kathryn Ann Cruze (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2536400499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Counseling And Psychotherapy Services, Llc 105 M St Ne Auburn WA 98002-4430 Ph: (253) 640-0499 | Living Well Counseling And Psychotherapy Services, Llc 105 M St Ne Auburn WA 98002-4430 Ph: (253) 640-0499 |
| NPI Number | 1730958646 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 7810340999 |
|---|---|
| Medicare Enrollment ID | O20240124004317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730958646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Ann Cruze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396895165 PECOS PAC ID: 8729431804 Enrollment ID: I20240124004368 |
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