Katelyn Yam, | |
1210 Sw 136th St, Burien, WA 98166-1214 | |
(206) 257-6947 | |
Not Available |
Full Name | Katelyn Yam |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1210 Sw 136th St, Burien, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861922007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | LH61022917 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Yam, 3003 14th Ave W Apt 105, Seattle, WA 98119-2093 Ph: () - | Katelyn Yam, 1210 Sw 136th St, Burien, WA 98166-1214 Ph: (206) 257-6947 |
Taylor Marie Grogan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600 | |
Elsa Nobue Yeomans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600 | |
James Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Sw 153rd St, Burien, WA 98166 Phone: 206-242-4915 | |
Aimee Marie Eveatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-257-6600 | |
Ms. Kenya Marie Broadnax, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-242-1126 Fax: 206-829-1258 | |
Dave Wolthausen, CD , LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600 | |
Angela Therase Ray Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-933-7153 |