| Marc Anthony Carvajal, | |
|
1201 S Proctor St, Tacoma, WA 98405-2047 | |
| (253) 396-5800 | |
| Not Available |
| Full Name | Marc Anthony Carvajal |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1201 S Proctor St, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720309321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Greater Lakes Mental Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Anthony Carvajal, 28700 34th Ave S Unit L7, Auburn, WA 98001-1048 Ph: (253) 396-5000 | Marc Anthony Carvajal, 1201 S Proctor St, Tacoma, WA 98405-2047 Ph: (253) 396-5800 |
Kenneth E Clifton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-4631 | |
David Andrew Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Leah Marie Bedker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Ms. Kimberly Noel Zacher, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 S Proctor St, Tacoma, WA 98405 Phone: 253-396-5800 Fax: 253-759-7008 | |
Mr. James Wesley Pogue Jr., MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Yakima Ave, Tacoma, WA 98405 Phone: 253-396-5237 | |
Ms. Sarah Lisa Bennett, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3021 6th Ave, Tacoma, WA 98406 Phone: 253-326-2816 | |
Barbara J Cook, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 S 13th St, Tacoma, WA 98402 Phone: 253-396-5000 Fax: 253-383-5548 |