| Han Soo Kim, MA | |
|
4629 168th St Sw Ste E, Lynnwood, WA 98037-8640 | |
| (425) 776-1290 | |
| Not Available |
| Full Name | Han Soo Kim |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 4629 168th St Sw Ste E, Lynnwood, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033761408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60971499 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
| 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 |
|---|---|
| Han Soo Kim, MA 9102 Bridgeport Way Sw, Lakewood, WA 98499-2418 Ph: (253) 302-3826 | Han Soo Kim, MA 4629 168th St Sw Ste E, Lynnwood, WA 98037-8640 Ph: (425) 776-1290 |
Christine Smith, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Suite 220, Lynnwood, WA 98036 Phone: 425-835-5871 Fax: 425-835-5855 | |
Richard Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 196th St Sw Ste 11, Lynnwood, WA 98036 Phone: 425-288-4900 Fax: 425-248-4703 | |
Yohan Chung, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4629 168th St Sw Ste E, Lynnwood, WA 98037 Phone: 425-776-1290 Fax: 425-776-1298 | |
Mrs. Kirstie Lynn Davis, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4807 196th St Sw, Lynnwood, WA 98036 Phone: 425-835-5850 | |
Leslie Catherine Olivia Bourgoin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw Ste 220, Lynnwood, WA 98036 Phone: 425-835-5850 Fax: 425-835-5855 | |
Miss Danielle Florence Honanie, CO60690975 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3910 188th St Sw, Lynnwood, WA 98037 Phone: 425-329-9484 | |
Elise Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19321 44th Ave W, Lynnwood, WA 98036 Phone: 000-000-0000 Fax: 000-000-0000 |