Constance M Stevenson, | |
748 14th Avenue, Longview, WA 98632 | |
(360) 200-5419 | |
(360) 200-6736 |
Full Name | Constance M Stevenson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 748 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 |
---|---|---|---|
1306382957 | NPI | - | NPPES |
2159213 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MC60808489 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Counseling Centers Of North Puget Sound |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376673566 PECOS PAC ID: 3375433741 Enrollment ID: O20040318000860 |
Mailing Address | Practice Location Address |
---|---|
Constance M Stevenson, 1920 100th St Se Ste A2, Everett, WA 98208-3832 Ph: (425) 312-0277 | Constance M Stevenson, 748 14th Avenue, Longview, WA 98632 Ph: (360) 200-5419 |
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 |