Organization
BLACKBURN AND GOODHEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW FRANCIS GOODHEART (CLINICAL DIRECTOR)
0114763988777
Entity
Organization
Contact information
Practice address
101 CENTRAL ST, OMAK, WA 98841-1025
(011) 476-3988
Mailing address
PO BOX 1025, OMAK, WA 98841-1025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00004955
WA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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