| Holly Raridon, | |
|
3285 Ferguson St. Sw, Tumwater, WA 98512-6154 | |
| (360) 943-1907 | |
| Not Available |
| Full Name | Holly Raridon |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 20 Years |
| Location | 3285 Ferguson St. Sw, Tumwater, 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 |
|---|---|---|---|
| 1851656110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60852784 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Inc | 8426014853 | 49 |
| Entity Name | Southeast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Raridon, Po Box 14339, Tumwater, WA 98511-4339 Ph: (360) 943-1907 | Holly Raridon, 3285 Ferguson St. Sw, Tumwater, WA 98512-6154 Ph: (360) 943-1907 |
Cephus Childs Jr., Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 409 Custer Way Se, Ste D, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Alexa Wood, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 204 Custer Way Sw, Tumwater, WA 98501 Phone: 360-450-4405 | |
Kerri Wright, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 208 Lee St Sw Ste 108, Tumwater, WA 98501 Phone: 360-701-7463 | |
Ms. Kaj Deborah Kayij-wint, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1500 Lake Park Dr Sw Apt 80, Tumwater, WA 98512 Phone: 404-502-1236 | |
Mr. Steven Patrick Williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1534 Bishop Rd Sw, Tumwater, WA 98512 Phone: 360-878-2709 | |
Nancy Cecilia Rocks, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 405 Custer Way, Suite D, Tumwater, WA 98501 Phone: 360-570-8258 Fax: 360-570-1171 | |
Rebecca E Grondel, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 208 Lee St Sw Ste 108, Tumwater, WA 98501 Phone: 360-259-7369 Fax: 360-529-4178 |