Debora R Holt, MED | |
404 S Division St, Moses Lake, WA 98837-1957 | |
(509) 764-7474 | |
(509) 764-7480 |
Full Name | Debora R Holt |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 404 S Division St, Moses Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861533556 | NPI | - | NPPES |
601772853 | Other | WA | UBI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH00004897 (Washington) | Primary |
Entity Name | Basin Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053317958 PECOS PAC ID: 0840635991 Enrollment ID: O20240228001642 |
Mailing Address | Practice Location Address |
---|---|
Debora R Holt, MED Po Box 760, Moses Lake, WA 98837-0121 Ph: (509) 764-7474 | Debora R Holt, MED 404 S Division St, Moses Lake, WA 98837-1957 Ph: (509) 764-7474 |
Marisol Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 095-707-9264 | |
Pegi Mueller, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582 | |
Tiffany Deleon, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-4124 | |
Decorah Curren, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582 | |
Kayleen Elizabeth Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 860-986-9998 | |
Jasmine Rincon Arroyo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 | |
Bonnie Russell, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582 |