| Waterton Counseling Pllc | |
|
17220 127th Pl Ne Ste 101c Woodinville WA 98072-7965 | |
| (425) 298-5543 | |
| Not Available |
| Full Name | Waterton Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 17220 127th Pl Ne Ste 101c, Woodinville, Washington |
| Authorized Official Name and Position | Kandi Arnhold (ADMINISTRATIVE) |
| Authorized Official Contact | 3607702955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterton Counseling Pllc 13303 Ne 175th St Ste A Woodinville WA 98072-8503 Ph: () - | Waterton Counseling Pllc 17220 127th Pl Ne Ste 101c Woodinville WA 98072-7965 Ph: (425) 298-5543 |
| NPI Number | 1164077582 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 3577894872 |
|---|---|
| Medicare Enrollment ID | O20191018000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164077582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marci Lynn Sweet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487056131 PECOS PAC ID: 4486985785 Enrollment ID: I20191018000229 |
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