Amanda M Kersteter, MC, LMHC, MHP, CMHS | |
748 14th Ave, Longview, WA 98632-2315 | |
(360) 200-5419 | |
(360) 200-6736 |
Full Name | Amanda M Kersteter |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 748 14th Ave, 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 |
---|---|---|---|
1083213268 | NPI | - | NPPES |
2166998 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61515783 (Washington) | Primary |
Entity Name | Core Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639693781 PECOS PAC ID: 0941631469 Enrollment ID: O20200515001400 |
Mailing Address | Practice Location Address |
---|---|
Amanda M Kersteter, MC, LMHC, MHP, CMHS Po Box 2394, Longview, WA 98632-8455 Ph: (360) 200-5419 | Amanda M Kersteter, MC, LMHC, MHP, CMHS 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 |
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: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187 | |
Rachel A Gaines, SUDP 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 |