Kenya L Hicklen, | |
1200 Sw 27th St, Renton, WA 98057-2603 | |
(800) 287-2680 | |
Not Available |
Full Name | Kenya L Hicklen |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1200 Sw 27th St, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336386176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LF60802887 (Washington) | Primary |
106H00000X | Marriage & Family Therapist | 84616 (California) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Kenya L Hicklen, 1200 Sw 27th St, Renton, WA 98057-2603 Ph: (800) 287-2680 | Kenya L Hicklen, 1200 Sw 27th St, Renton, WA 98057-2603 Ph: (800) 287-2680 |
Dana Stewart Lundbeck, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20725 Se 162nd Way, Renton, WA 98059 Phone: 425-761-2355 | |
Fernanda Gabriela Prado Lopez Aristi, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17616 Se 186th Way, Renton, WA 98058 Phone: 206-294-9695 | |
Makinie Fortino, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4333 Ne 22nd Ct, Renton, WA 98059 Phone: 971-600-1735 | |
Anna Wallace, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1025 S 3rd St, Renton, WA 98057 Phone: 206-949-1527 | |
Bridgitte Camelia Mathiasen, LMHC, MSCC, BS Couples Therapy Medicare: Medicare Enrolled Practice Location: 4445 Talbot Rd S, Renton, WA 98055 Phone: 425-656-4055 Fax: 425-656-5425 | |
Wendy Hansen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Carr Rd Ste 450, Renton, WA 98055 Phone: 425-686-9509 | |
Mrs. Caitlin B Vincent, LMFT CDP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Mill Ave S, Suite 10, Renton, WA 98057 Phone: 425-226-5062 |