| Mariam Opincar Merrin, MA, LPCC, LMHC, SUDP | |
|
144 Railroad Ave, Edmonds, WA 98020-7207 | |
| (206) 486-0242 | |
| Not Available |
| Full Name | Mariam Opincar Merrin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 144 Railroad Ave, Edmonds, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295137412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH 60675467 (Washington) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO 60516023 (Washington) | Secondary |
| Entity Name | Kendall Individual Family And Marriage Therapists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740830389 PECOS PAC ID: 5890231872 Enrollment ID: O20240725004831 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Opincar Merrin, MA, LPCC, LMHC, SUDP 5500 Harbour Pointe Blvd Apt E203, Mukilteo, WA 98275-5176 Ph: (206) 486-0242 | Mariam Opincar Merrin, MA, LPCC, LMHC, SUDP 144 Railroad Ave, Edmonds, WA 98020-7207 Ph: (206) 486-0242 |
Thomas Osterdahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7935 Lake Ballinger Way, Edmonds, WA 98026 Phone: 425-412-2973 Fax: 425-672-6022 | |
Jeanette M Kraemer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7522 221st Pl Sw, Edmonds, WA 98026 Phone: 425-775-4059 | |
Marc Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 547 Dayton St, Edmonds, WA 98020 Phone: 425-670-2807 | |
Bria J Effertz, M.S.W., MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539 | |
Kayla Wagner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Sierra Pl, Edmonds, WA 98020 Phone: 253-292-8270 | |
Ms. Abha Harting, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave. W, Aurora House, Edmonds, WA 98026 Phone: 425-672-3333 | |
Mr. David Alan Shively, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539 |