| Austin M Portch, MA | |
|
2118 E Sprague Ave, Spokane, WA 99202-3125 | |
| (509) 838-4651 | |
| Not Available |
| Full Name | Austin M Portch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2118 E Sprague Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144798026 | NPI | - | NPPES |
| 2114397 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CG60859064 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61020431 (Washington) | Primary |
| Entity Name | Frontier Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin M Portch, MA 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Austin M Portch, MA 2118 E Sprague Ave, Spokane, WA 99202-3125 Ph: (509) 838-4651 |
Ashlee Guckel, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Howard St Ste R, Spokane, WA 99201 Phone: 971-910-3182 | |
Michael Robert Sullivan, MSW Counselor Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 | |
Simonne Marie Crooks, BA, SUDP, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 Fax: 509-532-2005 | |
Sandra Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 Phone: 509-838-6092 | |
Laura Ann Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 Fax: 509-326-5025 | |
Desiree Brooke Johnson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 E 3rd Ave, Spokane, WA 99202 Phone: 509-838-4651 | |
Kimberly Atkins, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 |