Rochelle Sundeen Diconti, LMHC, SUDP | |
110 S Main St, Colville, WA 99114-2406 | |
(509) 903-5622 | |
Not Available |
Full Name | Rochelle Sundeen Diconti |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 110 S Main St, Colville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053897694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP61173606 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LH61355373 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
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Rochelle Sundeen Diconti, LMHC, SUDP 110 S Main St, Colville, WA 99114-2406 Ph: (509) 903-5622 | Rochelle Sundeen Diconti, LMHC, SUDP 110 S Main St, Colville, WA 99114-2406 Ph: (509) 903-5622 |
Terry L Parrish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 | |
Lizanne Stolworthy, M. ED., LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
Laura S Johnson, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
John A Michaelson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 358 E Birch Ave, 101, Colville, WA 99114 Phone: 509-684-3200 Fax: 509-684-1908 | |
Anahlise Marietta Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 | |
Donna L Kraft, M ED, LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 | |
Elizabeth Allene Mckellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 |