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Organization

YAKIMA AVENUE MEDICAL CLINIC, PLLC

Active
Other names
Best Practices Behavioral Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY BENSCH (CREDENTIALING SPECIALIST)
(509) 961-4868
Entity
Organization

Contact information

Practice address
5 S. 14TH AVENUE, ATTN BEHAVIORAL HEALTH DEPARTMENT, YAKIMA, WA 98902-3101
(509) 426-1759
(509) 902-8210
Mailing address
5 S. 14TH AVENUE, ATTN BEHAVIORAL HEALTH DEPARTMENT, YAKIMA, WA 98902-3101
(509) 426-1759
(509) 902-8210

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603144474
STATE UBI
WA
Enumeration date
08/09/2018
Last updated
08/09/2018
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