| Jacqueline Marie Delisle, LMFT, MHP, CMHS | |
|
221 Wells Ave S, Renton, WA 98057-2161 | |
| (206) 794-8109 | |
| (425) 226-6153 |
| Full Name | Jacqueline Marie Delisle |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 221 Wells Ave S, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982023446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60651912 (Washington) | Primary |
| Entity Name | Valley Cities Counseling And Consultation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972668853 PECOS PAC ID: 6406842053 Enrollment ID: O20040421000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Marie Delisle, LMFT, MHP, CMHS 221 Wells Ave S, Renton, WA 98057-2161 Ph: (206) 794-8109 | Jacqueline Marie Delisle, LMFT, MHP, CMHS 221 Wells Ave S, Renton, WA 98057-2161 Ph: (206) 794-8109 |
Dana Stewart Lundbeck, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20725 Se 162nd Way, Renton, WA 98059 Phone: 425-761-2355 | |
Fernanda Gabriela Prado Lopez Aristi, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17616 Se 186th Way, Renton, WA 98058 Phone: 206-294-9695 | |
Makinie Fortino, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4333 Ne 22nd Ct, Renton, WA 98059 Phone: 971-600-1735 | |
Anna Wallace, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1025 S 3rd St, Renton, WA 98057 Phone: 206-949-1527 | |
Bridgitte Camelia Mathiasen, LMHC, MSCC, BS Couples Therapy Medicare: Medicare Enrolled Practice Location: 4445 Talbot Rd S, Renton, WA 98055 Phone: 425-656-4055 Fax: 425-656-5425 | |
Wendy Hansen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Carr Rd Ste 450, Renton, WA 98055 Phone: 425-686-9509 | |
Mrs. Caitlin B Vincent, LMFT CDP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Mill Ave S, Suite 10, Renton, WA 98057 Phone: 425-226-5062 |