| Quality Behavioral Health | |
|
900 7th Street Clarkston WA 99403 | |
| (509) 758-3341 | |
| (509) 769-6057 |
| Full Name | Quality Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 7th Street, Clarkston, Washington |
| Authorized Official Name and Position | Danika M. Gwinn (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5097583341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Behavioral Health 900 7th Street Clarkston WA 99403 Ph: (509) 758-3341 | Quality Behavioral Health 900 7th Street Clarkston WA 99403 Ph: (509) 758-3341 |
| NPI Number | 1790707776 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/20/2016 |
| Medicare PECOS PAC ID | 6901795368 |
|---|---|
| Medicare Enrollment ID | O20040312001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790707776 | NPI | - | NPPES |
| Provider Name | Jane A Fore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063445385 PECOS PAC ID: 0446243125 Enrollment ID: I20041008001011 |
| Provider Name | Allen M Ernster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730276593 PECOS PAC ID: 1759381155 Enrollment ID: I20080331000104 |
| Provider Name | Ann M Ridinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790955649 PECOS PAC ID: 5890955504 Enrollment ID: I20120404000151 |
| Provider Name | Anthony Yacona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417913773 PECOS PAC ID: 5799748497 Enrollment ID: I20170627002144 |
| Provider Name | Kristine G Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982190583 PECOS PAC ID: 2860741709 Enrollment ID: I20180825000166 |
| Provider Name | Renee A Bacas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952497 PECOS PAC ID: 1951578103 Enrollment ID: I20190715000745 |
| Provider Name | Heather D Cochrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497282602 PECOS PAC ID: 0446691216 Enrollment ID: I20240510000261 |
| Provider Name | Christina N Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992111827 PECOS PAC ID: 4284076308 Enrollment ID: I20240521002755 |
| Provider Name | Danika M Gwinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396983854 PECOS PAC ID: 1850733668 Enrollment ID: I20240524001593 |
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