| George O Otura, LPC, LMHC | |
|
6723 5th Ct Se, Lacey, WA 98503-7918 | |
| (269) 220-2285 | |
| Not Available |
| Full Name | George O Otura |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6723 5th Ct Se, 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 |
|---|---|---|---|
| 1487008926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61438271 (Washington) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| George O Otura, LPC, LMHC 6723 5th Ct Se, Lacey, WA 98503-7918 Ph: (269) 220-2285 | George O Otura, LPC, LMHC 6723 5th Ct Se, Lacey, WA 98503-7918 Ph: (269) 220-2285 |
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 | |
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: Not Enrolled in Medicare 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 | |
Mrs. Brenda L Kittrell, LMSW, ACSW, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3808 Lanyard Dr Ne, Lacey, WA 98516 Phone: 253-226-2225 | |
Olga Lipson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 Woodland Square Loop Se Ste 301, Lacey, WA 98503 Phone: 360-790-9109 |