Ari Carry Ann Bonagofski, | |
4501 15th Ave S Ste 102, Seattle, WA 98108-1874 | |
(206) 552-8857 | |
Not Available |
Full Name | Ari Carry Ann Bonagofski |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4501 15th Ave S Ste 102, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376991612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LGM814 (Maryland) | Secondary |
106H00000X | Marriage & Family Therapist | LF61468866 (Washington) | Primary |
Entity Name | New Moon Ecotherapy Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124890165 PECOS PAC ID: 6406290923 Enrollment ID: O20240222003393 |
Mailing Address | Practice Location Address |
---|---|
Ari Carry Ann Bonagofski, 4501 15th Ave S Ste 102, Seattle, WA 98108-1874 Ph: (206) 552-8857 | Ari Carry Ann Bonagofski, 4501 15th Ave S Ste 102, Seattle, WA 98108-1874 Ph: (206) 552-8857 |
Ms. Alexandra Maria Brouwer Wright, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3245 Fairview Ave E, Suite 200, Seattle, WA 98102 Phone: 206-229-5583 | |
Mrs. Bernadette Jambaro Gipaya, BCBA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 600 Stewart St Ste 300, Seattle, WA 98101 Phone: 855-832-6727 | |
Mr. Kirk J. Honda, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 699 John St, Unit 113, Seattle, WA 98109 Phone: 206-841-8151 | |
Elliot Irene Sweet, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1812 E Madison St, Ste 30, Seattle, WA 98122 Phone: 206-745-2621 | |
Molly Elizabeth Rice, MA, LMFTA, RDT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1417 Nw 54th St, Suite 380, Seattle, WA 98107 Phone: 971-328-1810 | |
Mrs. Bailey D.s. Cheshire, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave W Apt 416, Seattle, WA 98119 Phone: 541-852-6239 | |
Marisssa Hackett, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 480-518-5209 |