Kory Lance Ganuelas, is a
Counselor - Mental Health based in Seattle, Washington. Kory Lance Ganuelas is licensed to practice in * (Not Available) (license number ) and his current practice location is
2400 Ne 95th St, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 525-5050.
NPI number for Kory Lance Ganuelas is 1891459129 and his current mailing address is 2400 Ne 95th St, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891459129.
Healthcare Provider's Profile
| Full Name | Kory Lance Ganuelas |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 2400 Ne 95th St, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891459129
- Provider Enumeration Date: 10/22/2021
- Last Update Date: 10/22/2021
Medical Identifiers
Medical identifiers for Kory Lance Ganuelas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891459129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | 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. Kory Lance Ganuelas 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 |
|---|
Kory Lance Ganuelas,
2400 Ne 95th St,
Seattle, WA 98115-2426
Ph: (206) 525-5050 | Kory Lance Ganuelas,
2400 Ne 95th St,
Seattle, WA 98115-2426
Ph: (206) 525-5050 |
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