Deeanna Personius, SC61188432 is a
Counselor based in Tukwila, Washington. Deeanna Personius is licensed to practice in Washington (license number SC61188432) and her current practice location is
15455 65th Ave S, Tukwila, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 721-5170.
NPI number for Deeanna Personius is 1720758535 and her current mailing address is Po Box 2429, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720758535.
Healthcare Provider's Profile
| Full Name | Deeanna Personius |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 15455 65th Ave S, Tukwila, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720758535
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 07/29/2024
Medical Identifiers
Medical identifiers for Deeanna Personius such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720758535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SC61188432 (Washington) | Secondary |
| 101Y00000X | Counselor | SC61188432 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deeanna Personius is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deeanna Personius, SC61188432
Po Box 2429,
Longview, WA 98632-8486
Ph: () - | Deeanna Personius, SC61188432
15455 65th Ave S,
Tukwila, WA 98188-2534
Ph: (206) 721-5170 |
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