Benjamin Joseph Robert Wilson, CDP | |
1007 Koala Dr, Omak, WA 98841-9247 | |
(509) 826-6191 | |
(509) 826-3029 |
Full Name | Benjamin Joseph Robert Wilson |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1007 Koala Dr, Omak, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245723493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CG61271846 (Washington) | Primary |
Entity Name | Okanogan Behavioral Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154324929 PECOS PAC ID: 6204828320 Enrollment ID: O20040331000186 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Joseph Robert Wilson, CDP 1007 Koala Dr, Omak, WA 98841-9247 Ph: (509) 826-6191 | Benjamin Joseph Robert Wilson, CDP 1007 Koala Dr, Omak, WA 98841-9247 Ph: (509) 826-6191 |
Shari Lynn Goodson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-6191 | |
Mrs. Maria Escobedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Samantha Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Roger Bauer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-6191 | |
Suzanne Kelsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Patricia Kay Brandt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-4787 | |
Karen Deane Jacobsen, LICENSED COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Koala Ave, Omak, WA 98841 Phone: 509-422-5700 Fax: 509-422-7680 |