| Bryan Jones, | |
|
1007 Koala Dr, Omak, WA 98841-9247 | |
| (509) 826-6191 | |
| (509) 826-3029 |
| Full Name | Bryan Jones |
|---|---|
| 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 |
|---|---|---|---|
| 1932603057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60928247 (Washington) | Primary |
| Entity Name | Okanogan Behavioral Healthcare |
|---|---|
| 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 |
|---|---|
| Bryan Jones, 1007 Koala Dr, Omak, WA 98841-9247 Ph: (509) 826-6191 | Bryan Jones, 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 | |
Donald Searcy, 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 |