Brett Egan, | |
8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 | |
(360) 915-3221 | |
Not Available |
Full Name | Brett Egan |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 8284 28th Ct Ne Ste A, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083268890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CG60989712 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Northwest Therapy Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497372460 PECOS PAC ID: 1850735614 Enrollment ID: O20240220002770 |
Mailing Address | Practice Location Address |
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Brett Egan, 8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 Ph: () - | Brett Egan, 8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 Ph: (360) 915-3221 |
Dr. Ricky Lee Johansen Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3727 Princeton Ct Se, Lacey, WA 98503 Phone: 360-357-4707 Fax: 360-357-4707 | |
Dalyn Badis, Counselor Medicare: Not Enrolled in Medicare Practice Location: Saint Raphael Center, Father Meinrad Gaul Dr Se, Lacey, WA 98503 Phone: 360-438-4367 | |
Indira Maru Melgarejo, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Sleater Kinney Rd Se Ste B353, Lacey, WA 98503 Phone: 360-401-9720 | |
Patrick William Maley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4804 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-799-5782 Fax: 360-539-1715 | |
Cassidy Meyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503 Phone: 360-763-5828 | |
Mrs. Brenda L Kittrell, LMSW, ACSW, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3808 Lanyard Dr Ne, Lacey, WA 98516 Phone: 253-226-2225 | |
Leslie Morris, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5831 Lacey Blvd Se Ste G, Lacey, WA 98503 Phone: 360-402-0750 |