DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TREVAR CONNELLY

MEDICARE: TREVAR CONNELLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1578262259
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREVAR CONNELLY
Provider Business Mailing Address
First Line : 920 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 509-254-5053
Fax Number : 509-769-3500
Provider Business Practice Location Address
First Line : 920 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 509-254-5053
Fax Number : 509-769-3500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2023
Last Update Date : 01/31/2024

Similar Medicare Providers

1992508014 — KATHERINE BRIANNE PAUL
Practice Location Address:
920 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 509-254-5053
Practice Fax:
1730529165 — ANDREA L CHARLES LICSW
Practice Location Address:
920 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 509-254-5053
Practice Fax: 509-769-3500
1730607854 — DRAGONFLY COUNSELING PLLC
Practice Location Address:
920 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 509-254-5053
Practice Fax: 509-769-3500
1538877436 — OPEN ARMS HOME CARE, LLC
Practice Location Address:
932 1/2 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 208-791-2386
Practice Fax: 509-295-8534
1124879317 — ASHLEY NICOLE ANDERSON
Practice Location Address:
920 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 509-254-5053
Practice Fax:
1780432328 — MS. SUNDAE ELAINE STONE MSW
Practice Location Address:
920 6TH ST
CLARKSTON, WA
99403-2079
Practice Phone: 509-254-5053
Practice Fax:

Directions to “ TREVAR CONNELLY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.