| Mr Jay E Mitchell, MA, MFT | |
|
110 W Crawford St Ste J, Deer Park, WA 99006-5356 | |
| (509) 818-6844 | |
| Not Available |
| Full Name | Mr Jay E Mitchell |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 110 W Crawford St Ste J, Deer Park, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013596212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 61315505 (Washington) | Primary |
| Entity Name | 49 Degrees Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780471557 PECOS PAC ID: 2466963053 Enrollment ID: O20250619002472 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jay E Mitchell, MA, MFT Po Box 1641, Deer Park, WA 99006-1641 Ph: (509) 818-6844 | Mr Jay E Mitchell, MA, MFT 110 W Crawford St Ste J, Deer Park, WA 99006-5356 Ph: (509) 818-6844 |
Joshua Adams Bruns, LPC, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 S Main St, Deer Park, WA 99006 Phone: 509-444-8200 |
Christy Dawn White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768 Fax: 833-281-1582 |
Kyra Larson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 204 E F St Unit B, Deer Park, WA 99006 Phone: 509-475-8137 |
Jacquelynn Kuhn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Blue Ridge Way, Deer Park, WA 99006 Phone: 509-309-4225 Fax: 509-381-3533 |
Ronald Stanley Nelson, DOCTOR CMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4006 W Staley Rd, Deer Park, WA 99006 Phone: 509-312-9875 |
Vashon R Coe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768 |
Megan Ashton Tapiz, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 347 S Colville Rd, Deer Park, WA 99006 Phone: 509-464-5500 Fax: 509-464-5510 |