| Anna Grace Peterson, CG 61390999 | |
|
201 Highland Dr, Buena, WA 98921-0139 | |
| (509) 865-6705 | |
| Not Available |
| Full Name | Anna Grace Peterson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 201 Highland Dr, Buena, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770281115 | NPI | - | NPPES |
| 91-0755984 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CG61390999 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Grace Peterson, CG 61390999 311 S 4th St, Selah, WA 98942-1667 Ph: (406) 249-6556 | Anna Grace Peterson, CG 61390999 201 Highland Dr, Buena, WA 98921-0139 Ph: (509) 865-6705 |
Brendon K Adams, CP60566337 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Drive, Buena, WA 98921 Phone: 509-248-1800 | |
Randa Nicole Washburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 Fax: 509-865-5011 | |
Carmenlita Ladonna Solis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
Derrick Lemond Tucker, CO61083856 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
William Turner, CG 61383850 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
Anthony S Castro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-248-1800 |