Spencer Iacolucci, | |
828 S 1st Ave, Walla Walla, WA 99362-4003 | |
(509) 593-8122 | |
(509) 769-5221 |
Full Name | Spencer Iacolucci |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 828 S 1st Ave, Walla Walla, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235957937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MC61591363 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Spencer Iacolucci, 828 S 1st Ave, Walla Walla, WA 99362-4003 Ph: (509) 593-8122 | Spencer Iacolucci, 828 S 1st Ave, Walla Walla, WA 99362-4003 Ph: (509) 593-8122 |
Mr. Jedadiah Eslinger, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Rose St, Walla Walla, WA 99362 Phone: 509-540-9621 | |
Liam C Wall, CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Mr. David N Silva, MSW, LICSW,BCD,CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 Fax: 509-527-3481 | |
Parveen Abdul, MED LMHC CDP Counselor Medicare: Medicare Enrolled Practice Location: 1520 Kelly Pl Ste 234, Walla Walla, WA 99362 Phone: 509-575-4084 Fax: 509-524-2920 | |
Rose Amara Pokrifchak, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 E Birch St, Ste 101, Walla Walla, WA 99362 Phone: 541-621-1271 | |
Ms. Karan Lea Shultz, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1520 Kelley Pl Fl 2, Walla Walla, WA 99362 Phone: 509-524-2920 | |
Mr. Michael Joseph Brumbach, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Kelley Pl, Walla Walla, WA 99362 Phone: 509-524-2020 |