| Soul Care Center Of The West Coast | |
|
120 Van Belle Rd Granger WA 98932-9767 | |
| (509) 303-5775 | |
| Not Available |
| Full Name | Soul Care Center Of The West Coast |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Van Belle Rd, Granger, Washington |
| Authorized Official Name and Position | Emily Violet Vickerman (THERAPIST/CO-OWNER) |
| Authorized Official Contact | 5095944917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Care Center Of The West Coast 120 Van Belle Rd Granger WA 98932-9767 Ph: (509) 594-4917 | Soul Care Center Of The West Coast 120 Van Belle Rd Granger WA 98932-9767 Ph: (509) 303-5775 |
| NPI Number | 1750100988 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750100988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |