| Willow Kopra Tucker, | |
|
2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093 | |
| (425) 647-9640 | |
| Not Available |
| Full Name | Willow Kopra Tucker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2781 Nw Birkenfeld Way, Poulsbo, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053890814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 60891614 (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 |
|---|---|
| Willow Kopra Tucker, 2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093 Ph: (425) 647-9640 | Willow Kopra Tucker, 2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093 Ph: (425) 647-9640 |
Ms. Cynthia Marie Brady, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 19351 8th Ave Ne Ste 141, Poulsbo, WA 98370 Phone: 360-598-3929 Fax: 360-598-4114 |
Christy Fuller, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 18901 8th Ave Ne, Poulsbo, WA 98370 Phone: 360-394-4158 |
Danielle Suzanne Rueb, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way, Poulsbo, WA 98370 Phone: 360-649-0222 |
Reid Zeller, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1936 Claret Loop Nw, Poulsbo, WA 98370 Phone: 619-300-0354 |
Kim A Bourgette, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 19550 Scoter Ln Ne, Poulsbo, WA 98370 Phone: 208-720-6593 |
Alexandra Dafcik, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way Ste 7a, Poulsbo, WA 98370 Phone: 206-451-7383 |
Mr. Michael Dorsey, LMHC CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18777 9th Ave Ne, Poulsbo, WA 98370 Phone: 360-697-1079 |