| Ms Kristin L Penn, MA LMHC | |
|
4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 | |
| (206) 324-1870 | |
| Not Available |
| Full Name | Ms Kristin L Penn |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4801 Deer Lake Rd Unit 101, Clinton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588785612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00005167 (Washington) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristin L Penn, MA LMHC 4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 Ph: (206) 324-1870 | Ms Kristin L Penn, MA LMHC 4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 Ph: (206) 324-1870 |
Ms. June Elizabeth Polasek, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3268 Hilberg Ln, Clinton, WA 98236 Phone: 360-632-3353 | |
Timothy K Clark, MA DCR Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Kyllenon Hill Rd, Clinton, WA 98236 Phone: 360-341-3413 | |
Lisa Ruth Mitchell, MFT, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4081 Springwater Ln, Clinton, WA 98236 Phone: 916-276-0455 | |
Dr. Patricia Kay Allison, DR. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7861 Andrew Ln, Clinton, WA 98236 Phone: 360-579-9350 | |
Ms. Gloria Ann Moore, L.M.H.C. Counselor Medicare: Medicare Enrolled Practice Location: 6442 Central Ave Ste A, Clinton, WA 98236 Phone: 360-341-3656 | |
Diane A Jhueck, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6442 Central Ave, Suite B, Clinton, WA 98236 Phone: 360-239-4564 |