Mr Daniel Richard Roberson, LMHC | |
102 E Highland Dr, Arlington, WA 98223-1517 | |
(360) 230-8482 | |
Not Available |
Full Name | Mr Daniel Richard Roberson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 102 E Highland Dr, Arlington, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659040368 | NPI | - | NPPES |
16081494 | Other | CAQH | |
2189382 | Medicaid | WA | |
LH61526870 | Other | WA | DOH - LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61146876 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LH61526870 (Washington) | Primary |
Entity Name | Zeteo Laity For The Kingdom |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124757414 PECOS PAC ID: 9638511199 Enrollment ID: O20240529002768 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Richard Roberson, LMHC 15619 16th Ave Nw, Marysville, WA 98271-8197 Ph: (303) 902-0833 | Mr Daniel Richard Roberson, LMHC 102 E Highland Dr, Arlington, WA 98223-1517 Ph: (360) 230-8482 |
Julie Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 173rd Pl Ne, Arlington, WA 98223 Phone: 425-349-8700 | |
Gregory Arlois Bauer, SUDP, NCAC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 16404 Smokey Point Blvd Ste 109, Arlington, WA 98223 Phone: 360-658-1388 Fax: 360-658-9842 | |
Jody Allen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 N Olympic Ave Ste 203, Arlington, WA 98223 Phone: 425-906-5089 | |
Ms. Melanie Macpherson Austin, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 21123 Smokey Point Blvd, Arlington, WA 98223 Phone: 360-652-9640 Fax: 360-652-2093 | |
Jonathan Gjerset, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 173rd Pl Ne, Arlington, WA 98223 Phone: 425-349-8700 | |
Sven Ahlen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 20902 67th Ave Ne # 365, Arlington, WA 98223 Phone: 360-403-7526 | |
Carrie Basher, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 307 N Olympic Ave Ste 226, Arlington, WA 98223 Phone: 425-309-8149 Fax: 888-972-6207 |