| Northeast Washington Family Counseling, P.s. | |
|
358 E Birch Ave 101 Colville WA 99114-2762 | |
| (509) 684-3200 | |
| (509) 684-1908 |
| Full Name | Northeast Washington Family Counseling, P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 358 E Birch Ave, Colville, Washington |
| Authorized Official Name and Position | Clark D. Ashworth (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 5096843200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Washington Family Counseling, P.s. 358 E. Birch 101 Colville WA 99114-2762 Ph: (509) 684-3200 | Northeast Washington Family Counseling, P.s. 358 E Birch Ave 101 Colville WA 99114-2762 Ph: (509) 684-3200 |
| NPI Number | 1932471653 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Medicare PECOS PAC ID | 7315105244 |
|---|---|
| Medicare Enrollment ID | O20120223000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932471653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1026 (Washington) | Primary |
| Provider Name | Clark D Ashworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558409219 PECOS PAC ID: 1557529484 Enrollment ID: I20120223000866 |
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