| Brett Egan, | |
|
8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 | |
| (360) 915-3221 | |
| Not Available |
| Full Name | Brett Egan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 8284 28th Ct Ne Ste A, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083268890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CG60989712 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Northwest Therapy Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497372460 PECOS PAC ID: 1850735614 Enrollment ID: O20240220002770 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Egan, 8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 Ph: Not Available | Brett Egan, 8284 28th Ct Ne Ste A, Lacey, WA 98516-7161 Ph: (360) 915-3221 |
Dr. Ricky Lee Johansen Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3727 Princeton Ct Se, Lacey, WA 98503 Phone: 360-357-4707 Fax: 360-357-4707 |
Mckenna Johnson, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4570 Avery Ln Se, Lacey, WA 98503 Phone: 360-464-7935 |
Dalyn Badis, Counselor Medicare: Not Enrolled in Medicare Practice Location: Saint Raphael Center, Father Meinrad Gaul Dr Se, Lacey, WA 98503 Phone: 360-438-4367 |
Indira Maru Melgarejo, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Sleater Kinney Rd Se Ste B353, Lacey, WA 98503 Phone: 360-401-9720 |
Patrick William Maley, Counselor Medicare: May Accept Medicare Assignments Practice Location: 4804 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-799-5782 Fax: 360-539-1715 |
Cassidy Meyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503 Phone: 360-763-5828 |
Lillian Maring, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8284 28th Ct Ne Ste A, Lacey, WA 98516 Phone: 360-915-3221 Fax: 360-890-4099 |