Olympic Counseling Group | |
677 Woodland Square Loop Se Lacey WA 98503-1000 | |
(206) 305-9980 | |
Not Available |
Full Name | Olympic Counseling Group |
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Speciality | Counselor |
Location | 677 Woodland Square Loop Se, Lacey, Washington |
Authorized Official Name and Position | Raymond Anderson (OWNER) |
Authorized Official Contact | 2063059980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olympic Counseling Group Po Box 12017 Olympia WA 98508-2017 Ph: (206) 305-9980 | Olympic Counseling Group 677 Woodland Square Loop Se Lacey WA 98503-1000 Ph: (206) 305-9980 |
NPI Number | 1649749458 |
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Provider Enumeration Date | 11/21/2018 |
Last Update Date | 09/24/2024 |
Certification Date | 09/24/2024 |
Medicare PECOS PAC ID | 3971043217 |
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Medicare Enrollment ID | O20240912003022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649749458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Raymond Anderson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881035756 PECOS PAC ID: 5193265437 Enrollment ID: I20240912002908 |
Provider Name | Marcie Eynon |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679215966 PECOS PAC ID: 3870033129 Enrollment ID: I20240912003430 |
Provider Name | Meghan Theiss |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750868584 PECOS PAC ID: 3577003839 Enrollment ID: I20240912003608 |
Provider Name | Lorraine Brilliant |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275062382 PECOS PAC ID: 8628518982 Enrollment ID: I20240912003754 |
Provider Name | Kristen Moore |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780070888 PECOS PAC ID: 0042750309 Enrollment ID: I20240912003933 |
Provider Name | Katie Cowan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801349725 PECOS PAC ID: 7719427988 Enrollment ID: I20240913003707 |
Provider Name | Jeanette Silva |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780331017 PECOS PAC ID: 7517498579 Enrollment ID: I20241001002115 |
Provider Name | Jahthaime Smith |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922492412 PECOS PAC ID: 5597296558 Enrollment ID: I20241001002228 |
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