Maddison Robin Blum
Individual provider Active NPI Mental Health Counselor · Centralia, WA
NPI 1962035865 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1962035865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3510 Steelhammer Dr
Centralia, WA 98531-4551 - Phone
- (360) 623-8020
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Evaluation and Treatment Center | Past |
Accepting new patients | |
| Cascade Community Healthcare | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3510 Steelhammer Dr
Centralia, WA 98531-4551
Mailing address
3510 Steelhammer Dr
Centralia, WA 98531-4551
Phone (360) 623-8020
Other providers in Centralia, WA
- Sean Blackwell
- Crystal Blair
- Joshua Grady-Lee Blair
- Luanna Huss Blanco
- Casey Laurel Blaser
- Blume Family Chiropractic & Massage, Inc
- Joshua D Blume
- Mark Andreyevich Bobrovnikov
- Jazmin A Bolduc
- Patricia A Bond
All providers in Centralia, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.