Ivelisse Vallellanes Santiago, MA | |
627 W Franklin St, Shelton, WA 98584-3504 | |
(360) 763-5610 | |
(360) 462-0449 |
Full Name | Ivelisse Vallellanes Santiago |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 627 W Franklin St, Shelton, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215410550 | NPI | - | NPPES |
CG60880238 | Other | WA | AGENCY AFFILIATED COUNSELO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ivelisse Vallellanes Santiago, MA 1650 Honeysuckle Ln Sw Apt 22-304, Tumwater, WA 98512-6099 Ph: (939) 777-6978 | Ivelisse Vallellanes Santiago, MA 627 W Franklin St, Shelton, WA 98584-3504 Ph: (360) 763-5610 |
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 |