Mrs Amber Dawn Carlson, LICSW | |
939 Mountain View Dr, Shelton, WA 98584-4410 | |
(360) 432-7782 | |
Not Available |
Full Name | Mrs Amber Dawn Carlson |
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Gender | Female |
Speciality | Counselor |
Location | 939 Mountain View Dr, Shelton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871967331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LW60294111 (Washington) | Primary |
Entity Name | Public Hospital District No 1 Of Mason County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
Mailing Address | Practice Location Address |
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Mrs Amber Dawn Carlson, LICSW 939 Mountain View Dr, Shelton, WA 98584-4410 Ph: (360) 432-7782 | Mrs Amber Dawn Carlson, LICSW 939 Mountain View Dr, Shelton, WA 98584-4410 Ph: (360) 432-7782 |
Lisa Hammond, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Dylan Glebe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
James P Fernandes, MA , MHP, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
Weston Joseph Broussard Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8002 | |
Theresa Richards, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Milonna Close, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 Fax: 360-839-2820 | |
Devin Ray Allen, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 |