| Mr Michael A Tisdale, CP00003857 | |
|
308 E. Young St., Elma, WA 98541 | |
| (360) 482-2674 | |
| Not Available |
| Full Name | Mr Michael A Tisdale |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 308 E. Young St., Elma, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831414796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00003857 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael A Tisdale, CP00003857 Po Box 477, Elma, WA 98541-0477 Ph: (360) 482-2674 | Mr Michael A Tisdale, CP00003857 308 E. Young St., Elma, WA 98541 Ph: (360) 482-2674 |
Claude Ouellette, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Jorge Arredondo-renteria, MED&SOC. INTERPRETER Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Evergreen Village Ln, Elma, WA 98541 Phone: 360-957-3682 | |
Lindey Lu Kaelin Ginther, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E. Young St., Elma, WA 98541 Phone: 360-482-2674 Fax: 360-482-2674 | |
Nora Rye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Elma, WA 98541 Phone: 306-861-8700 | |
Abreana Christine Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 E Main St, Elma, WA 98541 Phone: 360-704-7170 | |
Courtney Alexis Dietrich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 E Main St, Elma, WA 98541 Phone: 360-704-7170 | |
Brock Dustin Pohl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E. Young St., Elma, WA 98541 Phone: 360-482-2674 |