Iain Crockett, MS | |
340 Ne Maple St, Pullman, WA 99163-4120 | |
(509) 334-1133 | |
(509) 332-1608 |
Full Name | Iain Crockett |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 340 Ne Maple St, Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639570351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CG60493589 (Washington) | Primary |
Entity Name | Palouse River Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063486272 PECOS PAC ID: 5698768331 Enrollment ID: O20040407000660 |
Mailing Address | Practice Location Address |
---|---|
Iain Crockett, MS 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 334-1133 | Iain Crockett, MS 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 334-1133 |
Shane Randal Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 | |
Jessica Joy Billings, LMHC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 506-334-1133 | |
Michelle Kathleen Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 Fax: 509-332-1608 | |
Arielle Webb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 Fax: 509-332-1608 | |
Cheyenne Cochran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 254 E Main St Ste 226, Pullman, WA 99163 Phone: 208-820-8513 | |
Alex Little, MHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1234 S Grand Ave, Pullman, WA 99163 Phone: 509-553-9447 | |
Araseli Solorio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Nw Ann St, Pullman, WA 99163 Phone: 509-631-8363 |