Provider Demographics
NPI:1336965474
Name:PAULA MCKEE LICSW PLLC ONCOLOGY COUNSELING NORTHWEST
Entity type:Organization
Organization Name:PAULA MCKEE LICSW PLLC ONCOLOGY COUNSELING NORTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICSW-COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-999-4643
Mailing Address - Street 1:174 S COEUR DALENE ST UNIT H101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-6482
Mailing Address - Country:US
Mailing Address - Phone:509-999-4643
Mailing Address - Fax:
Practice Address - Street 1:174 S COEUR DALENE ST UNIT H101
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-6482
Practice Address - Country:US
Practice Address - Phone:509-999-4643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty