| Pend Oreille County | |
|
105 South Garden Ave Newport WA 99156-5055 | |
| (509) 447-5651 | |
| (509) 447-2671 |
| Full Name | Pend Oreille County |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 105 South Garden Ave, Newport, Washington |
| Authorized Official Name and Position | Annabelle Payne (DIRECTOR) |
| Authorized Official Contact | 5094475651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pend Oreille County Po Box 5055 Newport WA 99156-5055 Ph: (509) 447-5651 | Pend Oreille County 105 South Garden Ave Newport WA 99156-5055 Ph: (509) 447-5651 |
| NPI Number | 1104978824 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104978824 | NPI | - | NPPES |
| 1983907 | Medicaid | WA | |
| 1990803 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Aegis Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Walnut St Ste 2, Newport, WA 99156 Phone: 509-869-4578 | |
Pend Oreille County Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Garden Avenue, Newport, WA 99156 Phone: 509-447-5651 |