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Desirae Bear Eagle
Mental Health Counselor in Nespelem, Washington
NPI 1427504034

Desirae Bear Eagle is a Mental Health Counselor based in Nespelem, WA and is specialized in Mental Health. Desirae Bear Eagle practices in Nespelem, WA. The NPI Number for Desirae Bear Eagle is 1427504034 and holds a License No. SC60245109 (Washington).

The current practice location address for Desirae Bear Eagle is 21 Colville St, Nespelem, WA and can be reached out via phone at 509-634-2600.

Location: 21 Colville St, Nespelem, WA, 99155-0150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427504034
Provider Name
Desirae Bear Eagle
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Colville St, Nespelem, WA, 99155-0150
Phone Number
509-634-2600
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1044912 05 WA
institution
Provider Business Practice Location Address Details
Address
21 Colville St
City
Nespelem
State
Washington
Zip
99155
Phone Number
509-634-2600
Fax Number
person
Provider Business Mailing Address Details
Address
21 Colville St
City
Nespelem
State
Washington
Zip
99155
Phone Number
509-634-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
SC60245109 (Washington)
Definition
Definition to come...
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