MR. MARK ANTHONY VELLUCCI


Address: 11818 Se Mill Plain Blvd, Suite 311c, Vancouver, WA 99684
Phone: 3605713981

MR. MARK ANTHONY VELLUCCI (NPI# 1164525580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164525580
Entity Type Individual
Full Name MR. MARK ANTHONY VELLUCCI
Credential MA
Practice Address 11818 Se Mill Plain Blvd
Suite 311c
Vancouver
WA 99684
Mailing Address 11818 Se Mill Plain Blvd Ste 311c
Vancouver
WA 98684-5091
Practice Telephone 3605713981
Practice Fax Number 5035782454
Mailing Telephone 3605713981
Mailing Fax Number 5035782454
Enumeration Date 2006-09-07
Last Update Date 2009-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LH00004640 WA Behavioral Health & Social Service Providers

Office Location

Street Address 11818 SE MILL PLAIN BLVD
SUITE 311C
City VANCOUVER
State WA
Zip Code 99684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841732849 Britney Scanlan Specialist 11818 Se Mill Plain Blvd, Suite 401, Vancouver, WA 98684-5089 2016-11-08
1699226050 Carrie Oliver Counselor 11818 Se Mill Plain Blvd, Suite #307, Vancouver, WA 98684-5089 2016-10-20
1558812156 Julia Kostin Counselor 11818 Se Mill Plain Blvd, Vancouver, WA 98684-5089 2016-10-18
1801346440 Andrea Belleisle Counselor 11818 Se Mill Plain Blvd, Vancouver, WA 98684-5089 2016-10-06
1609249275 Kanukayi Jacobsen Student in an Organized Health Care Education/Training Program 11818 Se Mill Plain Blvd, 213, Vancouver, WA 98684-5089 2015-11-04
1336577881 Healthy In Healthcare Massage Therapist 11818 Se Mill Plain Blvd, Suite 401, Vancouver, WA 98684-5089 2013-10-18
1255694428 Dozark Health and Wellness Inc Chiropractor 11818 Se Mill Plain Blvd, Suite 408, Vancouver, WA 98684-5089 2012-06-21
1003199712 Daybreak Youth Services Counselor 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 2011-09-20
1699076448 Gene W. Scheel Dmd Ps Dentist 11818 Se Mill Plain Blvd, Suite 106, Vancouver, WA 98684-5089 2010-11-10
1346424868 Janelle Dozark Massage Therapist 11818 Se Mill Plain Blvd, #408, Vancouver, WA 98684-5089 2007-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750923751 Elvina Mary Turner Counselor Happy Valley Road, Unalakleet Clinic, Unalakleet, AK 99684 2019-10-10
1578960001 Cody V Martin Community Health Worker 189 Airport Way, Unalakleet, AK 99684 2014-11-26
1295005213 Jennifer M Henry Community Health Worker Airport Road 189, Unalakleet, AK 99684 2012-01-06
1518158245 Norton Sound Regional Hospital Substance Abuse Rehabilitation Facility 3rd Ave, Unalakleet, AK 99684 2007-08-07
1144341249 Norton Sound Health Corp Clinic/Center Unalakleet Clinic, Main St Box 189, Unalakleet, AK 99684 2007-04-03
1114050267 Anne Michele Ivanoff Registered Nurse 189 Airport Rd, Unalakleet, AK 99684 2007-03-14
1003203092 Jacki Johnson Community Health Worker 189 Airport Road, Unalakleet, AK 99684 2015-04-17
1912274564 Lavern Ann Katchatag Community Health Worker 189 Airport Road, Unalakleet, AK 99684 2011-11-28
1104449636 Donald Max Pleasant Community Health Worker Airport Road, Unalakleet, AK 99684-0000 2020-05-19
1801138565 Kathleen Edna Oyoumick Community Health Worker 189 N. Happy Valley Rd., Unalakleet, AK 99684-0189 2013-03-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508463878 Andrew Accornero Counselor 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 2020-10-08
1962024703 Sarah Elizabeth Wahl Counselor 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 2020-05-14
1922632900 Jeremy Houtsma Counseling LLC Counselor 601 Main St Ste 309, Vancouver, WA 98660-3404 2020-02-27
1194367631 Ashley Amber Thomas Counselor 5732 Ne 131st Pl, Vancouver, WA 98682-2277 2019-10-16
1164073698 Michelle L Drake Counselor 9606 Ne 19th St, Vancouver, WA 98664-2983 2019-09-25
1306496260 Shaina Lee Heimerl Counselor 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 2019-09-12
1205497013 Natasha Marie Medina Counselor 1104 Main St Ste M105, Vancouver, WA 98660-2969 2019-06-23
1295395267 Nicola R Cook Counselor 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 2019-06-20
1720643851 Christine Yoshida Counselor 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 2019-05-03
1679035364 Breanne Alina Valrance Counselor 6601 Ne 71st Ave, Vancouver, WA 98661-1945 2019-04-02
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Competitor

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City VANCOUVER
Zip Code 99684

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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