Bria Moira Killgore, MSW, CHES | |
921 14th Avenue, Longview, WA 98632 | |
(360) 423-0203 | |
(360) 423-2311 |
Full Name | Bria Moira Killgore |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 921 14th Avenue, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851819833 | NPI | - | NPPES |
2097771 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 60806216 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Bria Moira Killgore, MSW, CHES 921 14th Avenue, Longview, WA 98632 Ph: (360) 423-0203 | Bria Moira Killgore, MSW, CHES 921 14th Avenue, Longview, WA 98632 Ph: (360) 423-0203 |
Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 | |
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 | |
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187 | |
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736 | |
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653 |