| Mr Robert E Mccullough Ii, LMHC, SUDP | |
|
809 W Main St Ste C, Monroe, WA 98272-2172 | |
| (206) 552-0882 | |
| (844) 440-2147 |
| Full Name | Mr Robert E Mccullough Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 809 W Main St Ste C, Monroe, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386006922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00004280 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61367968 (Washington) | Primary |
| Entity Name | Tulalip Tribes Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770531501 PECOS PAC ID: 7719879782 Enrollment ID: O20160615001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert E Mccullough Ii, LMHC, SUDP 809 W Main St Ste C, Monroe, WA 98272-2172 Ph: (206) 552-0882 | Mr Robert E Mccullough Ii, LMHC, SUDP 809 W Main St Ste C, Monroe, WA 98272-2172 Ph: (206) 552-0882 |
Csilla Vegvari, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 W Main St, Monroe, WA 98272 Phone: 425-349-8810 | |
Ms. Deborah Marie Lambo, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Main St Ste 201, Monroe, WA 98272 Phone: 360-794-1951 Fax: 360-794-6711 | |
Melysa S Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Fremont St Apt E211, Monroe, WA 98272 Phone: 360-348-2523 | |
Mikel Wassemiller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C, Monroe, WA 98272 Phone: 206-552-0882 | |
Nancy Wagner Leonardson, M.A. AND L.M.H.C.. Counselor Medicare: Accepting Medicare Assignments Practice Location: 125 E Main St, Suite 201, Monroe, WA 98272 Phone: 360-794-1951 Fax: 360-794-6711 | |
Christina Vitela Duarte, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14090 Fryelands Blvd Se Ste 327, Monroe, WA 98272 Phone: 360-805-3122 Fax: 360-805-9180 | |
Margarethe F. Allen, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 17880 147th St Se, Monroe, WA 98272 Phone: 360-794-1405 |