| Mrs Kirstie Lynn Davis, | |
| 4807 196th St Sw, Lynnwood, WA 98036-6430 | |
| (425) 835-5850 | |
| Not Available | 
| Full Name | Mrs Kirstie Lynn Davis | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 4807 196th St Sw, Lynnwood, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023535705 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61306364 (Washington) | Primary | 
| Entity Name | Compass Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730136201 PECOS PAC ID: 5799682357 Enrollment ID: O20031212000865 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kirstie Lynn Davis, 4526 Federal Ave, Everett, WA 98203-2132 Ph: (425) 349-6200 | Mrs Kirstie Lynn Davis, 4807 196th St Sw, Lynnwood, WA 98036-6430 Ph: (425) 835-5850 | 
| Christine Smith, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Suite 220, Lynnwood, WA 98036 Phone: 425-835-5871 Fax: 425-835-5855 | |
| Richard Johnson,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 196th St Sw Ste 11, Lynnwood, WA 98036 Phone: 425-288-4900 Fax: 425-248-4703 | |
| Yohan Chung,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 4629 168th St Sw Ste E, Lynnwood, WA 98037 Phone: 425-776-1290 Fax: 425-776-1298 | |
| Leslie Catherine Olivia Bourgoin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw Ste 220, Lynnwood, WA 98036 Phone: 425-835-5850 Fax: 425-835-5855 | |
| Miss Danielle Florence Honanie, CO60690975 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3910 188th St Sw, Lynnwood, WA 98037 Phone: 425-329-9484 | |
| Elise Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19321 44th Ave W, Lynnwood, WA 98036 Phone: 000-000-0000 Fax: 000-000-0000 |