Kelsey B Hawk, MA | |
412 S 12th Ave, Yakima, WA 98902-3115 | |
(509) 308-1307 | |
Not Available |
Full Name | Kelsey B Hawk |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 412 S 12th Ave, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881997492 | NPI | - | NPPES |
MC60129038 | Other | WA | WA STATE DOH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MC60129038 (Washington) | Primary |
Entity Name | Brightside Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230628000619 |
Mailing Address | Practice Location Address |
---|---|
Kelsey B Hawk, MA 412 S 12th Ave, Yakima, WA 98902-3115 Ph: (509) 308-1307 | Kelsey B Hawk, MA 412 S 12th Ave, Yakima, WA 98902-3115 Ph: (509) 308-1307 |
Christian Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-3874 | |
Leslie Kincade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 Fax: 509-225-6313 | |
Maria-elena Mendoza, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 S 8th St, Yakima, WA 98901 Phone: 509-454-4143 | |
Michael D Davidson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Lincoln Ave Ste 100, Yakima, WA 98901 Phone: 509-457-5653 | |
Shayla R Moniz, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 W Lincoln Ave, Yakima, WA 98902 Phone: 509-452-4520 Fax: 509-452-5224 | |
Amos Frisbie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 S 38th Ave Apt 33, Yakima, WA 98902 Phone: 509-972-3284 | |
Tricia L Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 |