| Tomas D Mino Pena, CDPT60922995 | |
|
151 N Market Blvd Ste C, Chehalis, WA 98532-2677 | |
| (360) 948-0203 | |
| (360) 262-6703 |
| Full Name | Tomas D Mino Pena |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 151 N Market Blvd Ste C, Chehalis, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003472440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1376696096 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tomas D Mino Pena, CDPT60922995 121 Nw Chehalis Ave, Chehalis, WA 98532-2010 Ph: (360) 948-0203 | Tomas D Mino Pena, CDPT60922995 151 N Market Blvd Ste C, Chehalis, WA 98532-2677 Ph: (360) 948-0203 |
Catherine Fetters, MA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Market Blvd, Chehalis, WA 98532 Phone: 360-948-0203 | |
Theresa M Normoyle, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560 | |
Stacy Thompson Mueller, BA, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Ne Hampe Way Ste C2-1, Chehalis, WA 98532 Phone: 360-748-2274 Fax: 360-748-2276 | |
Amber Arlene Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 N National Ave Ste 216, Chehalis, WA 98532 Phone: 360-763-5828 | |
Ms. Teresa Ann Williams, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Chehalis, WA 98532 Phone: 360-748-6696 Fax: 360-748-0627 | |
Troy Achord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Chehalis, WA 98532 Phone: 360-748-4339 Fax: 360-496-5039 |