Tina Marie Wagner, | |
980 Eastmont Ave, East Wenatchee, WA 98802-6602 | |
(509) 662-6000 | |
Not Available |
Full Name | Tina Marie Wagner |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 980 Eastmont Ave, East Wenatchee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770899270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101Y00000X | Counselor | LH00010770 (Washington) | Primary |
Entity Name | Columbia Valley Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487650636 PECOS PAC ID: 7113813874 Enrollment ID: O20040227000599 |
Mailing Address | Practice Location Address |
---|---|
Tina Marie Wagner, 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 Ph: (509) 662-6000 | Tina Marie Wagner, 980 Eastmont Ave, East Wenatchee, WA 98802-6602 Ph: (509) 662-6000 |
Jennifer Cortes Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 784 N Kentucky Ave, East Wenatchee, WA 98802 Phone: 509-393-3575 | |
Ms. Terri Ann Greer, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Valley Mall Pkwy # 451, East Wenatchee, WA 98802 Phone: 509-387-1533 | |
Ms. Megan Spring Johnson, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Eastmont Ave Ste B, East Wenatchee, WA 98802 Phone: 509-885-9090 | |
Leianne Trefry, MS Counselor Medicare: Medicare Enrolled Practice Location: 980 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-662-6000 | |
Mary Megan Kappler, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Grant Rd, Ste A25, East Wenatchee, WA 98802 Phone: 509-884-9040 Fax: 509-884-9041 | |
Isabel Bedolla-hurtado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Eastmont Ave # B, East Wenatchee, WA 98802 Phone: 509-663-0034 | |
Alejandro Avina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 S Perry Ave, East Wenatchee, WA 98802 Phone: 509-421-4042 |