Laura J Fridley, | |
165 E Hawthorne Ave, Colville, WA 99114-5212 | |
(509) 684-4597 | |
Not Available |
Full Name | Laura J Fridley |
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Gender | Female |
Speciality | Counselor |
Location | 165 E Hawthorne Ave, Colville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497181945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | MC60533677 (Washington) | Primary |
Entity Name | Clallam County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20040219000309 |
Mailing Address | Practice Location Address |
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Laura J Fridley, 165 E Hawthorne, Colville, WA 99114-2735 Ph: (509) 684-4597 | Laura J Fridley, 165 E Hawthorne Ave, Colville, WA 99114-5212 Ph: (509) 684-4597 |
Terry L Parrish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 | |
Lizanne Stolworthy, M. ED., LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
Laura S Johnson, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
John A Michaelson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 358 E Birch Ave, 101, Colville, WA 99114 Phone: 509-684-3200 Fax: 509-684-1908 | |
Anahlise Marietta Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 | |
Donna L Kraft, M ED, LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
Elizabeth Allene Mckellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 |