David Alden Pulliam, LMHC | |
1055 9th Ave # A, Longview, WA 98632-2662 | |
(360) 577-8140 | |
Not Available |
Full Name | David Alden Pulliam |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1055 9th Ave # A, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063787216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH60274245 (Washington) | Primary |
101YM0800X | Counselor - Mental Health | C2814 (Oregon) | Secondary |
Entity Name | Cowlitz Indian Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589 |
Mailing Address | Practice Location Address |
---|---|
David Alden Pulliam, LMHC 1055 9th Ave # A, Longview, WA 98632-2662 Ph: (360) 577-8140 | David Alden Pulliam, LMHC 1055 9th Ave # A, Longview, WA 98632-2662 Ph: (360) 577-8140 |
Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 | |
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 | |
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187 | |
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736 | |
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653 |