| Nicole Victoria Asha Stack, | |
|
325 E Pioneer, Puyallup, WA 98372-3265 | |
| (253) 697-8400 | |
| Not Available |
| Full Name | Nicole Victoria Asha Stack |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 4 Years |
| Location | 325 E Pioneer, Puyallup, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073265989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CG61247305 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 2296 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Victoria Asha Stack, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 | Nicole Victoria Asha Stack, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 |
Rashaun A Renggli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Brittney A Craig, M.A. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Meridian Ste 202, Puyallup, WA 98371 Phone: 206-595-2470 | |
Laurel M Holden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Michael A Pinatiello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Melissa D Romans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Rainy D Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8452 Fax: 253-697-3730 | |
Samantha Smith, LMHC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9811 126th St E, Puyallup, WA 98373 Phone: 253-208-1140 Fax: 253-243-2953 |