Molly Henderson Arnp Inc | |
1005 Olympia Ave Ne Olympia WA 98506-4033 | |
(360) 791-5933 | |
Not Available |
Full Name | Molly Henderson Arnp Inc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1005 Olympia Ave Ne, Olympia, Washington |
Authorized Official Name and Position | Martha Henderson (CEO) |
Authorized Official Contact | 3607915933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Molly Henderson Arnp Inc 1005 Olympia Ave Ne Olympia WA 98506-4033 Ph: (360) 791-5933 | Molly Henderson Arnp Inc 1005 Olympia Ave Ne Olympia WA 98506-4033 Ph: (360) 791-5933 |
NPI Number | 1013180173 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 10/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013180173 | NPI | - | NPPES |
1471HE | Other | REGENCE | |
301407471247HE | Other | WA | TRICARE |
9629676 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | AP30006528 (Washington) | Primary |
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