Julie Christine Mcinnis, | |
409 Custer Way Se, Ste D, Tumwater, WA 98501-3350 | |
(360) 570-8258 | |
(360) 570-1171 |
Full Name | Julie Christine Mcinnis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 409 Custer Way Se, Tumwater, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942501788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH00010046 (Washington) | Primary |
Entity Name | Crysalis Counseling & Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578270930 PECOS PAC ID: 4385087857 Enrollment ID: O20240212003257 |
Mailing Address | Practice Location Address |
---|---|
Julie Christine Mcinnis, Po Box 34703, Seattle, WA 98124-1703 Ph: (206) 764-3335 | Julie Christine Mcinnis, 409 Custer Way Se, Ste D, Tumwater, WA 98501-3350 Ph: (360) 570-8258 |
Haley Alene Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6005 Tyee Dr Sw, Tumwater, WA 98512 Phone: 360-464-6712 Fax: 360-586-9728 | |
Marla Vigre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Custer Way Se, Suite D, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Diana Carlson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Ebbets Dr Sw, Tumwater, WA 98512 Phone: 360-515-2888 | |
Tifanie Lee Gitchell, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6005 Tyee Dr Sw, Tumwater, WA 98512 Phone: 360-464-6873 | |
Christine Himlie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Custer Way Se, Suite C, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Nicole Alexandria Nomic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3285 Ferguson St Sw, Tumwater, WA 98512 Phone: 360-252-2989 | |
Ms. Paula Greenthal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6128 Capitol Blvd Se, Tumwater, WA 98501 Phone: 360-754-5729 Fax: 360-943-2659 |