Kaitlan Vasquez, | |
3775 Martin Way E # B, Olympia, WA 98506-5007 | |
(360) 704-7170 | |
Not Available |
Full Name | Kaitlan Vasquez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3775 Martin Way E # B, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316440589 | NPI | - | NPPES |
100889 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Kaitlan Vasquez, 3857 Martin Way E, Olympia, WA 98506-5268 Ph: () - | Kaitlan Vasquez, 3775 Martin Way E # B, Olympia, WA 98506-5007 Ph: (360) 704-7170 |
Layla M. Bushee, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Legion Way Se Ste 3a, Olympia, WA 98501 Phone: 206-636-1246 | |
Shelby Ann Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 10th Ave Se, Olympia, WA 98501 Phone: 360-819-0546 | |
Pamela Kay Bodine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 | |
Mary Achol Bol, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506 Phone: 360-528-2590 | |
Sheryl Stone-carle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502 Phone: 360-878-8248 | |
Daniele Brittney Maurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 | |
Andrew Daniel-jude Thompson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3773 Martin Way E, Olympia, WA 98506 Phone: 360-688-7312 Fax: 360-688-7318 |