| Radical Change, Pllc | |
|
518 E 7th St Port Angeles WA 98362-6215 | |
| (808) 315-9311 | |
| Not Available |
| Full Name | Radical Change, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 518 E 7th St, Port Angeles, Washington |
| Authorized Official Name and Position | Janno Scheer (OWNER) |
| Authorized Official Contact | 8083159311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Change, Pllc Po Box 1121 Port Angeles WA 98362-0213 Ph: (808) 315-9311 | Radical Change, Pllc 518 E 7th St Port Angeles WA 98362-6215 Ph: (808) 315-9311 |
| NPI Number | 1851117733 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851117733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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