| Nebari Counseling Pllc | |
|
1136 Water St Ste 102 Port Townsend WA 98368-6728 | |
| (360) 207-4745 | |
| Not Available |
| Full Name | Nebari Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1136 Water St Ste 102, Port Townsend, Washington |
| Authorized Official Name and Position | Kolby Mertz Gambill (LICSW) |
| Authorized Official Contact | 3602074745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebari Counseling Pllc 222 N Rhododendron Dr Port Townsend WA 98368-9484 Ph: (360) 207-4745 | Nebari Counseling Pllc 1136 Water St Ste 102 Port Townsend WA 98368-6728 Ph: (360) 207-4745 |
| NPI Number | 1487117057 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 3870822612 |
|---|---|
| Medicare Enrollment ID | O20190904002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487117057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kolby M Gambill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669858601 PECOS PAC ID: 2365758737 Enrollment ID: I20150831001303 |
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