Mr Judson Austin Haynes, | |
260 Kala Point Dr Ste 102, Port Townsend, WA 98368-9530 | |
(360) 698-5883 | |
(360) 809-6002 |
Full Name | Mr Judson Austin Haynes |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 260 Kala Point Dr Ste 102, Port Townsend, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346650298 | NPI | - | NPPES |
2254794 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60211997 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LH60531241 (Washington) | Primary |
Entity Name | Mcs Counseling Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740727494 PECOS PAC ID: 8224485131 Enrollment ID: O20231115001254 |
Mailing Address | Practice Location Address |
---|---|
Mr Judson Austin Haynes, Po Box 565, 884 West Park Avenue, Port Townsend, WA 98368 Ph: (360) 385-0321 | Mr Judson Austin Haynes, 260 Kala Point Dr Ste 102, Port Townsend, WA 98368-9530 Ph: (360) 698-5883 |
Jean Armstrong Scarboro, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Decatur St, Port Townsend, WA 98368 Phone: 360-310-8782 | |
Charles Leigh Babcock Ii, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3051 W Sims Way, Port Townsend, WA 98368 Phone: 360-385-1258 | |
Jessica Huntting, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Taylor St, Suite 1, Port Townsend, WA 98368 Phone: 360-531-4624 | |
Sarah Willick, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 W Park Ave, Port Townsend, WA 98368 Phone: 360-385-0321 Fax: 360-385-3944 | |
Michael Glowski, BS, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 686 Lake St Ste 100, Port Townsend, WA 98368 Phone: 360-385-0321 | |
Amanda M Knee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 W Park Ave, Port Townsend, WA 98368 Phone: 360-385-0321 | |
Lobelia A White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 W Park Ave, Port Townsend, WA 98368 Phone: 360-385-0321 |