| Pacific Mental Health Llc | |
|
5108 196th St Sw Ste 350 Lynnwood WA 98036-6169 | |
| (425) 582-2041 | |
| Not Available |
| Full Name | Pacific Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5108 196th St Sw Ste 350, Lynnwood, Washington |
| Authorized Official Name and Position | Jeffery Goff (OFFICER) |
| Authorized Official Contact | 2064279796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mental Health Llc 5108 196th St Sw Ste 350 Lynnwood WA 98036-6169 Ph: (425) 582-2041 | Pacific Mental Health Llc 5108 196th St Sw Ste 350 Lynnwood WA 98036-6169 Ph: (425) 582-2041 |
| NPI Number | 1255987368 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255987368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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