| Renewed Lives, Pllc | |
|
18657 State Highway 305 Ne Suite 114 Poulsbo WA 98370-8418 | |
| (360) 779-1431 | |
| (360) 850-0237 |
| Full Name | Renewed Lives, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18657 State Highway 305 Ne, Poulsbo, Washington |
| Authorized Official Name and Position | John B Stringer (OWNER) |
| Authorized Official Contact | 3607791431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Lives, Pllc 18657 State Highway 305 Ne Suite 114 Poulsbo WA 98370-8418 Ph: (360) 779-1431 | Renewed Lives, Pllc 18657 State Highway 305 Ne Suite 114 Poulsbo WA 98370-8418 Ph: (360) 779-1431 |
| NPI Number | 1891119426 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891119426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60297108 (Washington) | Primary |
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