Mrs Susana Beatriz Puricelli, MA | |
30209 21st Ave S, Federal Way, WA 98003-4249 | |
(206) 850-7584 | |
Not Available |
Full Name | Mrs Susana Beatriz Puricelli |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 30209 21st Ave S, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649642042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CL 60163927 (Washington) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Entity Name | Pacmed Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susana Beatriz Puricelli, MA 30209 21st Ave S, Federal Way, WA 98003-4249 Ph: (206) 850-7584 | Mrs Susana Beatriz Puricelli, MA 30209 21st Ave S, Federal Way, WA 98003-4249 Ph: (206) 850-7584 |
Tyre Dulaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 | |
Anna Koback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 | |
Sean Robert Reardon, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 33455 6th Ave S Ste 2c, Federal Way, WA 98003 Phone: 253-210-4230 | |
Traia Janette Albano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-214-3306 | |
Duane A. Prather, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1010 S 336th St, Suite 218, Federal Way, WA 98003 Phone: 253-835-8983 Fax: 253-835-8987 | |
Jennifer J Mcdaniel, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31919 1st Ave S, Suite 203, Federal Way, WA 98003 Phone: 703-389-6309 | |
Niles Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 |