Mr Kevin Martin Larson, AAC | |
4238 Auburn Way N, Sound Mental Health, Auburn, WA 98002-1311 | |
(253) 876-7600 | |
(253) 876-7650 |
Full Name | Mr Kevin Martin Larson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4238 Auburn Way N, Auburn, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467797126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CG60222068 (Washington) | Primary |
101Y00000X | Counselor | CG60222068 (Washington) | Secondary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Greater Lakes Mental Health Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Martin Larson, AAC 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 Ph: (206) 302-2200 | Mr Kevin Martin Larson, AAC 4238 Auburn Way N, Sound Mental Health, Auburn, WA 98002-1311 Ph: (253) 876-7600 |
Melissa Christensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2704 I St Ne, Auburn, WA 98002 Phone: 253-833-7444 | |
Elliott O Duea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Auburn Way S, Auburn, WA 98002 Phone: 253-939-2202 | |
Andrew Kritovich, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30012 41st Ave S, Auburn, WA 98001 Phone: 206-334-8702 Fax: 253-941-6577 | |
Julia Rosalind Aquino Lumauig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4238 Auburn Way N, Auburn, WA 98002 Phone: 253-876-7600 | |
Colby Moores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2704 I St Ne, Auburn, WA 98002 Phone: 253-833-7444 | |
Irene Waibara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4238 Auburn Way N, Auburn, WA 98002 Phone: 206-901-2000 | |
Jesus Garcia, RC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17500 Se 392nd St, Auburn, WA 98092 Phone: 253-939-6648 Fax: 253-887-8737 |