| Marlena Lee Kennedy, | |
|
850 W Maple St, Medical Lake, WA 99022-5139 | |
| (509) 565-4000 | |
| (509) 565-4705 |
| Full Name | Marlena Lee Kennedy |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 850 W Maple St, Medical Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609495704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marlena Lee Kennedy, 850 W Maple St, Medical Lake, WA 99022-5139 Ph: (509) 565-4000 | Marlena Lee Kennedy, 850 W Maple St, Medical Lake, WA 99022-5139 Ph: (509) 565-4000 |
Ciera Caprice Botzheim, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: Eastern State Hospital, 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Mr. Herman Lee Ryans, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 S Lefevre St, Medical Lake, WA 99022 Phone: 509-218-9870 | |
Ms. Susan L Vanwormer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N. Jefferson, Medical Lake, WA 99022 Phone: 509-710-9457 |