| Real Life Counseling, Pllc | |
|
1498 Se Tech Center Pl Ste 180 Vancouver WA 98683-5518 | |
| (360) 619-2226 | |
| (360) 326-9691 |
| Full Name | Real Life Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1498 Se Tech Center Pl Ste 180, Vancouver, Washington |
| Authorized Official Name and Position | Joseph M Klemz (OWNER) |
| Authorized Official Contact | 3606192226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Counseling, Pllc Po Box 872573 Vancouver WA 98687-2573 Ph: (360) 619-2226 | Real Life Counseling, Pllc 1498 Se Tech Center Pl Ste 180 Vancouver WA 98683-5518 Ph: (360) 619-2226 |
| NPI Number | 1053782078 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 6406156231 |
|---|---|
| Medicare Enrollment ID | O20151201002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053782078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph M Klemz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013130558 PECOS PAC ID: 9638311467 Enrollment ID: I20130807000809 |
| Provider Name | Justin L Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407052558 PECOS PAC ID: 0547587131 Enrollment ID: I20150319000002 |
| Provider Name | Kristen L Arntzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942722848 PECOS PAC ID: 9335485028 Enrollment ID: I20190117001115 |
| Provider Name | Christina A Gjesvold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891244976 PECOS PAC ID: 3072849249 Enrollment ID: I20190725001249 |
| Provider Name | Mark Meadows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831865716 PECOS PAC ID: 0648615757 Enrollment ID: I20240228003724 |
| Provider Name | Julie Yang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033577945 PECOS PAC ID: 7810332947 Enrollment ID: I20240228004472 |
| Provider Name | Eva Ngare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265984769 PECOS PAC ID: 2365888211 Enrollment ID: I20240313003248 |
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