Mackenzie Moll, | |
16345 Ne 87th St, #a-6, Redmond, WA 98052-3503 | |
(425) 653-4960 | |
(425) 653-4961 |
Full Name | Mackenzie Moll |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 16345 Ne 87th St, Redmond, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033579081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Jennie Yngsdahl Ma Licensed Psychologist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417233701 PECOS PAC ID: 1759727787 Enrollment ID: O20240312003031 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Moll, 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 Ph: (206) 302-2200 | Mackenzie Moll, 16345 Ne 87th St, #a-6, Redmond, WA 98052-3503 Ph: (425) 653-4960 |
Tana Anderson, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15600 Redmond Way, Suite 101, Redmond, WA 98052 Phone: 425-802-7146 Fax: 425-836-2517 | |
Laci Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15446 Bel Red Rd Ste 401, Redmond, WA 98052 Phone: 971-801-2054 | |
Anna Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16255 Ne 87th St Ste 150, Redmond, WA 98052 Phone: 425-882-1697 | |
Matthew D Markell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8290 165th Ave Ne, Redmond, WA 98052 Phone: 425-869-2644 Fax: 425-867-0930 | |
Tomomi Ito, MA, LMHC, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7981 168th Ave Ne Ste 138, Redmond, WA 98052 Phone: 425-588-7046 | |
Miss Melissa Montrose, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 15600 Redmond Way Ste 201, Redmond, WA 98052 Phone: 425-298-3762 |