Gretchen Gallagher Van Blair, LMHC | |
816 E 8th St, Port Angeles, WA 98362-6419 | |
(360) 797-4021 | |
Not Available |
Full Name | Gretchen Gallagher Van Blair |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 816 E 8th St, Port Angeles, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629698493 | NPI | - | NPPES |
2158459 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 61267046 (Washington) | Primary |
Entity Name | Lower Elwha Klallam Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821114026 PECOS PAC ID: 0446240964 Enrollment ID: O20040517000588 |
Mailing Address | Practice Location Address |
---|---|
Gretchen Gallagher Van Blair, LMHC 816 E 8th St, Port Angeles, WA 98362-6419 Ph: (360) 797-4021 | Gretchen Gallagher Van Blair, LMHC 816 E 8th St, Port Angeles, WA 98362-6419 Ph: (360) 797-4021 |
Deborah Fredson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Nicole Lynn Moreira, MA, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Laura Lee Eliason, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Ms. Roberta L Charles, ME, CAS,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Charles Rd, Port Angeles, WA 98363 Phone: 360-460-5963 | |
Kevin Dean Collins, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Port Angeles, WA 98362 Phone: 360-452-4432 Fax: 360-452-4599 | |
Teresa Mckenzie, CO60123119 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Suite 2, Port Angeles, WA 98362 Phone: 360-452-9836 | |
Cypress Bergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 |