Mental Health Professionals, Llc | |
2136 Olympic Hwy N Shelton WA 98584-2953 | |
(360) 462-3320 | |
(360) 930-6887 |
Full Name | Mental Health Professionals, Llc |
---|---|
Speciality | Counselor |
Location | 2136 Olympic Hwy N, Shelton, Washington |
Authorized Official Name and Position | Adrian Ronald Magnuson-whyte (LMHC) |
Authorized Official Contact | 3604623320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mental Health Professionals, Llc Po Box 366 Hoodsport WA 98548-0366 Ph: (360) 462-3320 | Mental Health Professionals, Llc 2136 Olympic Hwy N Shelton WA 98584-2953 Ph: (360) 462-3320 |
NPI Number | 1427206705 |
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Provider Enumeration Date | 08/28/2008 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Medicare PECOS PAC ID | 1456572353 |
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Medicare Enrollment ID | O20141017000941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427206705 | NPI | - | NPPES |
Provider Name | Sarah M Magnuson-whyte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326271339 PECOS PAC ID: 4880881028 Enrollment ID: I20110119000578 |
Provider Name | Adrian R Magnuson-whyte |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881894798 PECOS PAC ID: 4688010101 Enrollment ID: I20240307000033 |
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