| Mr Mark Alan Horan, MA | |
|
9330 59th Ave Sw, Lakewood, WA 98499-2858 | |
| (253) 581-7020 | |
| Not Available |
| Full Name | Mr Mark Alan Horan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 9330 59th Ave Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487770517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00005546 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Greater Lakes Mental Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Alan Horan, MA 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 581-7020 | Mr Mark Alan Horan, MA 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 581-7020 |
Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042 | |
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789 | |
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831 | |
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020 | |
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Christine Leah Daly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10116 36th Avenue Ct Sw, Lakewood, WA 98499 Phone: 206-999-1153 |