Kammersgard, Eric

Kammersgard, Eric is an individual health care provider with primary practice located at 165 E Hawthorne Ave , Colville WA 99114-2629. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kammersgard, Eric can be contacted via phone (509) 684-4597.

Contact Information

Primary practice address
165 E Hawthorne Ave Colville WA 99114-2629
Phone: (509) 684-4597
Fax: (509) 684-5286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 30864 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60977038 Washington

Profile Details

NPI number 1568505345
LBN Legal business name Kammersgard, Eric
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Feb 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568505345 NPPES
California MEDICAID 41688

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