Catherine Eden

Individual provider Active NPI Mental Health Counselor · Everson, WA

NPI 1881964443 · NPPES record last updated Jan 12, 2012

Key facts

NPI
1881964443
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MC60164862 (WA)
Practice address
6750 Mission Rd
Everson, WA 98247-9749
Phone
(360) 966-7704
Fax
(360) 966-4225
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MC60164862WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60164862 WA Yes

Addresses

Primary practice location

6750 Mission Rd
Everson, WA 98247-9749

Mailing address

PO Box 157
Deming, WA 98244-0157
Phone (360) 966-7704

Other providers in Everson, WA

All providers in Everson, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.