Teegan Nicole Waltz, is a
Counselor - Mental Health based in Centralia, Washington. Teegan Nicole Waltz is licensed to practice in * (Not Available) (license number ) and her current practice location is
3510 Steelhammer Dr, Centralia, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 623-8020.
NPI number for Teegan Nicole Waltz is 1891411161 and her current mailing address is 1401 Johnson Rd Apt 53, Centralia, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891411161.
Provider's Profile
| Full Name | Teegan Nicole Waltz |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 3510 Steelhammer Dr, Centralia, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891411161
- Provider Enumeration Date: 10/18/2022
- Last Update Date: 10/20/2022
Medical Identifiers
Medical identifiers for Teegan Nicole Waltz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891411161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teegan Nicole Waltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teegan Nicole Waltz,
1401 Johnson Rd Apt 53,
Centralia, WA 98531-4574
Ph: () - | Teegan Nicole Waltz,
3510 Steelhammer Dr,
Centralia, WA 98531-4551
Ph: (360) 623-8020 |
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