| Ms Susan L Vanwormer, | |
|
108 N. Jefferson, Medical Lake, WA 99022 | |
| (509) 710-9457 | |
| Not Available |
| Full Name | Ms Susan L Vanwormer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 108 N. Jefferson, Medical Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881912962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60147000 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan L Vanwormer, Po Box 1199, Medical Lake, WA 99022-1199 Ph: (509) 710-9457 | Ms Susan L Vanwormer, 108 N. Jefferson, Medical Lake, WA 99022 Ph: (509) 710-9457 |
Ciera Caprice Botzheim, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: Eastern State Hospital, 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Mr. Herman Lee Ryans, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 S Lefevre St, Medical Lake, WA 99022 Phone: 509-218-9870 | |
Marlena Lee Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 W Maple St, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 |