| Mark Grannemann, | |
|
6128 Capitol Blvd Se, Tumwater, WA 98501-5271 | |
| (360) 704-7170 | |
| Not Available |
| Full Name | Mark Grannemann |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6128 Capitol Blvd Se, Tumwater, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750812152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CG60154298 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Grannemann, 921 14th Ave, Longview, WA 98632-2316 Ph: (360) 423-0203 | Mark Grannemann, 6128 Capitol Blvd Se, Tumwater, WA 98501-5271 Ph: (360) 704-7170 |
Haley Alene Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6005 Tyee Dr Sw, Tumwater, WA 98512 Phone: 360-464-6712 Fax: 360-586-9728 | |
Marla Vigre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Custer Way Se, Suite D, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Diana Carlson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Ebbets Dr Sw, Tumwater, WA 98512 Phone: 360-515-2888 | |
Tifanie Lee Gitchell, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6005 Tyee Dr Sw, Tumwater, WA 98512 Phone: 360-464-6873 | |
Christine Himlie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Custer Way Se, Suite C, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Nicole Alexandria Nomic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3285 Ferguson St Sw, Tumwater, WA 98512 Phone: 360-252-2989 | |
Ms. Paula Greenthal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6128 Capitol Blvd Se, Tumwater, WA 98501 Phone: 360-754-5729 Fax: 360-943-2659 |