Michelle Tennant, BA | |
9330 59th Ave Sw, Lakewood, WA 98499-2858 | |
(253) 620-5015 | |
Not Available |
Full Name | Michelle Tennant |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 9330 59th Ave Sw, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871044461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Washington) | Primary |
Entity Name | Sokyahealth Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220706000817 |
Mailing Address | Practice Location Address |
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Michelle Tennant, BA 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015 | Michelle Tennant, BA 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015 |
Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042 | |
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789 | |
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831 | |
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020 | |
Samantha Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 |