Tina Marie Wagner, | |
140 Easy Way, Wenatchee, WA 98801-8108 | |
(509) 662-4296 | |
Not Available |
Full Name | Tina Marie Wagner |
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Gender | Female |
Speciality | Counselor |
Location | 140 Easy Way, Wenatchee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770899270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101Y00000X | Counselor | LH00010770 (Washington) | Primary |
Entity Name | Columbia Valley Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487650636 PECOS PAC ID: 7113813874 Enrollment ID: O20040227000599 |
Mailing Address | Practice Location Address |
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Tina Marie Wagner, 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 Ph: (509) 662-6000 | Tina Marie Wagner, 140 Easy Way, Wenatchee, WA 98801-8108 Ph: (509) 662-4296 |
Michael Cate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 S Worthen St, Wenatchee, WA 98801 Phone: 509-662-6761 | |
Jaime Lynn Robison, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Walla Walla Ave, Wenatchee, WA 98801 Phone: 509-663-0034 | |
Robin Kay Lee, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 640 S Mission St, Wenatchee, WA 98801 Phone: 509-662-6761 Fax: 509-663-3182 | |
Lizania Hurtado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 S Mission St, Wenatchee, WA 98801 Phone: 509-662-6761 | |
Mr. Benjamin Michael Valdez, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Okanogan Ave, Wenatchee, WA 98801 Phone: 509-662-9673 Fax: 509-662-9441 | |
Alejandra Rodriguez-maldonado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 819 N Miller St, Wenatchee, WA 98801 Phone: 509-662-4592 | |
Suzanne Mack Graden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 S Worthen St, Wenatchee, WA 98801 Phone: 509-662-6761 |