| Waterman Counseling, Llc | |
|
205 W 2nd St Ste 448 Duluth MN 55802-1920 | |
| (218) 269-3119 | |
| Not Available |
| Full Name | Waterman Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 205 W 2nd St Ste 448, Duluth, Minnesota |
| Authorized Official Name and Position | Kari A Loisel (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2183550896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterman Counseling, Llc 205 W 2nd St Ste 448 Duluth MN 55802-1920 Ph: (218) 269-3119 | Waterman Counseling, Llc 205 W 2nd St Ste 448 Duluth MN 55802-1920 Ph: (218) 269-3119 |
| NPI Number | 1972264471 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 6901299247 |
|---|---|
| Medicare Enrollment ID | O20220208002965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972264471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Hannah C Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720406309 PECOS PAC ID: 8921221243 Enrollment ID: I20140513002313 |
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