| Mr Daniel Richard Roberson, LMHC | |
|
135 N Olympic Ave, Arlington, WA 98223-1335 | |
| (360) 230-8482 | |
| (425) 548-1734 |
| Full Name | Mr Daniel Richard Roberson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 135 N Olympic Ave, Arlington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659040368 | NPI | - | NPPES |
| 16081494 | Other | CAQH | |
| 2189382 | Medicaid | WA | |
| LH61526870 | Other | WA | DOH - LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61526870 (Washington) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61146876 (Washington) | Secondary |
| Entity Name | Zeteo Laity For The Kingdom |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124757414 PECOS PAC ID: 9638511199 Enrollment ID: O20240529002768 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Richard Roberson, LMHC 15619 16th Ave Nw, Marysville, WA 98271-8197 Ph: (303) 902-0833 | Mr Daniel Richard Roberson, LMHC 135 N Olympic Ave, Arlington, WA 98223-1335 Ph: (360) 230-8482 |
Julie Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 173rd Pl Ne, Arlington, WA 98223 Phone: 425-349-8700 | |
Gregory Arlois Bauer, SUDP, NCAC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 16404 Smokey Point Blvd Ste 109, Arlington, WA 98223 Phone: 360-658-1388 Fax: 360-658-9842 | |
Mrs. Francesca Cecile Mariani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 E Maple St, Arlington, WA 98223 Phone: 360-708-1765 | |
Jody Allen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 N Olympic Ave Ste 203, Arlington, WA 98223 Phone: 425-906-5089 | |
Ms. Melanie Macpherson Austin, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 21123 Smokey Point Blvd, Arlington, WA 98223 Phone: 360-652-9640 Fax: 360-652-2093 | |
Jonathan Gjerset, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 173rd Pl Ne, Arlington, WA 98223 Phone: 425-349-8700 | |
Sven Ahlen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 20902 67th Ave Ne # 365, Arlington, WA 98223 Phone: 360-403-7526 |