| Northwest Emdr Therapy Llc | |
|
7200 Ne 41st St Ste 100 Vancouver WA 98662-7935 | |
| (360) 953-3199 | |
| (360) 339-5498 |
| Full Name | Northwest Emdr Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 7200 Ne 41st St Ste 100, Vancouver, Washington |
| Authorized Official Name and Position | Vanessa Graff (OWNER) |
| Authorized Official Contact | 3609533199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Emdr Therapy Llc 7200 Ne 41st St Ste 100 Vancouver WA 98662-7935 Ph: (360) 953-3199 | Northwest Emdr Therapy Llc 7200 Ne 41st St Ste 100 Vancouver WA 98662-7935 Ph: (360) 953-3199 |
| NPI Number | 1578137857 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 8022547082 |
|---|---|
| Medicare Enrollment ID | O20250124000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578137857 | NPI | - | NPPES |
| 1255882031 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Vanessa Anne Graff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255882031 PECOS PAC ID: 2668901323 Enrollment ID: I20250124001210 |
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