Tracy Wiesneske, | |
325 Pine St Ste B, Mount Vernon, WA 98273-5929 | |
(206) 530-1286 | |
Not Available |
Full Name | Tracy Wiesneske |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 325 Pine St Ste B, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841553971 | NPI | - | NPPES |
1841553971 | Other | WA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 |
---|---|
Tracy Wiesneske, 325 Pine St Ste B, Mount Vernon, WA 98273-5929 Ph: () - | Tracy Wiesneske, 325 Pine St Ste B, Mount Vernon, WA 98273-5929 Ph: (206) 530-1286 |
Ms. Blanca V. Laursen, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 E College Way, Mount Vernon, WA 98273 Phone: 360-763-5595 Fax: 360-399-7639 | |
Mrs. Tina Marie Linares, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Comanche Dr, Mount Vernon, WA 98273 Phone: 360-420-2093 | |
Timothy Eilers, CDMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 E College Way Ste 132, Mount Vernon, WA 98273 Phone: 360-428-3066 Fax: 866-576-2195 | |
Mrs. Merrily M Sloan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 S.2nd Street, Mount Vernon, WA 98273 Phone: 360-419-3500 Fax: 360-419-3505 | |
Mr. Jeffrey William Dyer, CLINICIAN I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 N 30th St, Mount Vernon, WA 98273 Phone: 360-419-3544 Fax: 360-419-3505 | |
Darlene Stuber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Pacific Pl, Mount Vernon, WA 98273 Phone: 360-416-7546 Fax: 360-416-7541 | |
Tom A O'brien-wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Pacific Pl, Mount Vernon, WA 98273 Phone: 360-416-7546 |