Katherine Eleanor Ibis, LMHC | |
1620 Woodard Ave Nw Unit E3, Olympia, WA 98502-4230 | |
(360) 878-5815 | |
Not Available |
Full Name | Katherine Eleanor Ibis |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1620 Woodard Ave Nw Unit E3, 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 |
---|---|---|---|
1821555111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61130025 (Washington) | Primary |
106H00000X | Marriage & Family Therapist | 60917788 (Washington) | Secondary |
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 |
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Katherine Eleanor Ibis, LMHC 1620 Woodard Ave Nw Unit E3, Olympia, WA 98502-4230 Ph: (360) 878-5815 | Katherine Eleanor Ibis, LMHC 1620 Woodard Ave Nw Unit E3, Olympia, WA 98502-4230 Ph: (360) 878-5815 |
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 |