Kaneesha Roarke, | |
5455 Almira Dr Ne, Bremerton, WA 98311-8330 | |
(360) 415-5870 | |
Not Available |
Full Name | Kaneesha Roarke |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5455 Almira Dr Ne, Bremerton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336796606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | C8016 (Oregon) | Primary |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
Mailing Address | Practice Location Address |
---|---|
Kaneesha Roarke, 5455 Almira Dr Ne, Bremerton, WA 98311-8330 Ph: (360) 415-5870 | Kaneesha Roarke, 5455 Almira Dr Ne, Bremerton, WA 98311-8330 Ph: (360) 415-5870 |
Matthew D Eisenhower, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-373-5031 | |
Jessica Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5610 Kitsap Way Ste 320, Bremerton, WA 98312 Phone: 360-792-2020 | |
Mrs. Renee Michele Mills, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4040 Wheaton Way Ste 212, Bremerton, WA 98310 Phone: 360-415-3926 | |
Mrs. Anna Bresette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-373-5031 | |
Susan Gwendolyn Visco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3015 Trenton Ave, Bremerton, WA 98310 Phone: 253-858-4200 | |
Chunisty Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-415-5870 | |
Marion Crie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-415-5870 |