| Stacy Raeann Wirkkala, SUDPT | |
|
404 W Main St, Kelso, WA 98626-1118 | |
| (360) 423-2806 | |
| Not Available |
| Full Name | Stacy Raeann Wirkkala |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 404 W Main St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144973223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61077791 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Raeann Wirkkala, SUDPT 190 Grasseth Poston Rd, Longview, WA 98632-9147 Ph: (360) 703-4251 | Stacy Raeann Wirkkala, SUDPT 404 W Main St, Kelso, WA 98626-1118 Ph: (360) 423-2806 |
Ariel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Ms. Rene Kerry Bohannon-oxford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Pacific Ave North, Kelso, WA 98626 Phone: 360-261-8467 Fax: 360-414-8906 | |
Kenneth Case, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 | |
Kimberly Michelle Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Cathy Ludahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Deborah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Grade St, Kelso, WA 98626 Phone: 360-425-5855 | |
Jayme Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 |