Healthcare Provider Details

I. General information

NPI: 1003887340
Provider Name (Legal Business Name): WHATCOM COUNSELING & PSYCHIATRIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 10/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 E MCLEOD RD
BELLINGHAM WA
98226-8700
US

IV. Provider business mailing address

3645 E MCLEOD RD
BELLINGHAM WA
98226-8700
US

V. Phone/Fax

Practice location:
  • Phone: 360-676-2220
  • Fax: 360-676-7750
Mailing address:
  • Phone: 360-676-2220
  • Fax: 360-676-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number600469546
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCY L MARKS
Title or Position: HUMAN RESOURCES GENERALIST
Credential:
Phone: 360-752-4543