Dr Adrian Ronald Magnuson-whyte, LMHC | |
1620 Olympic Hwy N, Mental Health Professionals, Llc, Shelton, WA 98584-3052 | |
(360) 462-3320 | |
(360) 930-6887 |
Full Name | Dr Adrian Ronald Magnuson-whyte |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1620 Olympic Hwy N, Shelton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881894798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH00009082 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LH000090982 (Washington) | Primary |
Entity Name | Mental Health Professionals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427206705 PECOS PAC ID: 1456572353 Enrollment ID: O20141017000941 |
Mailing Address | Practice Location Address |
---|---|
Dr Adrian Ronald Magnuson-whyte, LMHC Po Box 366, Mental Health Professionals, Llc, Hoodsport, WA 98548-0366 Ph: (360) 462-3320 | Dr Adrian Ronald Magnuson-whyte, LMHC 1620 Olympic Hwy N, Mental Health Professionals, Llc, Shelton, WA 98584-3052 Ph: (360) 462-3320 |
Lisa Hammond, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Dylan Glebe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
James P Fernandes, MA , MHP, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
Weston Joseph Broussard Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8002 | |
Theresa Richards, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Milonna Close, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 Fax: 360-839-2820 | |
Devin Ray Allen, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 |