MS. DEANA RAE MCGLOTHLIN (NPI# 1972700102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972700102 |
Entity Type | Individual |
Full Name | MS. DEANA RAE MCGLOTHLIN |
Credential | CDP |
Practice Address |
1614 S Fruitland St Kennewick WA 99337-4841 |
Practice Telephone | 5095850874 |
Mailing Telephone | 5095850874 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00001020 | WA | Behavioral Health & Social Service Providers |
Street Address |
1614 S FRUITLAND ST |
City | KENNEWICK |
State | WA |
Zip Code | 99337-4841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982238044 | Sendy D Garibay-flores | Specialist/Technologist | 1609 South Garfield St, Kennewick, WA 99337 | 2020-02-27 |
1407386535 | Robin Roderick | Dental Hygienist | 2510 W. 35th Ave, Kennewick, WA 99337 | 2017-06-12 |
1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
1093119232 | Angela Combs | Nurse Practitioner | 3801 Zintel Way, Suite 120, Kennewick, WA 99337 | 2014-10-17 |
1699103036 | Zachary Daniel Mcnair | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2013-10-22 |
1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
1144403064 | Anja Rasmussen | Physical Therapist | 3101 S. Gum St, Kennewick, WA 99337 | 2007-12-13 |
1558585182 | Cynthia Renee Wright | Counselor | 3801 S Zintel Way Ste 120, Kennewick, WA 99337 | 2007-04-13 |
1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
1770699886 | Jeanie Edwards | Specialist | 228705 Game Farm Rd, Kennewick, WA 99337 | 2006-08-22 |
Find all providers in zip 99337 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699321745 | Steve R Ouradnik | Counselor | 3703 W Kennewick Ave Apt D326, Kennewick, WA 99336-2883 | 2019-08-14 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
1659732477 | Jennifer Heston | Counselor | 1914 W 2nd Ave, Kennewick, WA 99336-3248 | 2016-03-08 |
1134599384 | Pattrisha Pesina | Counselor | 7510 W Deschutes Pl, Kennewick, WA 99336 | 2015-09-30 |
1902286834 | Minghua Zhu | Counselor | 274 N Hawaii St, Kennewick, WA 99336-1682 | 2015-06-05 |
1780011627 | Monica Lynn Ottum | Counselor | 415 N. Morain Street, Kennewick, WA 99336 | 2013-10-10 |
1053646026 | Valerie Joanne Engel | Counselor | 200 S Union St Apt 2b, Kennewick, WA 99336-2275 | 2009-10-08 |
1821273202 | Clifton Watson Jr. | Counselor | 303 1/2 W Kennewick Ave # Wa, Kennewick, WA 99336-3858 | 2008-01-04 |
1518162411 | Sari Elaine Anderson | Counselor | 5504 W Metaline Ave, Kennewick, WA 99336-1419 | 2007-06-19 |
1417179243 | Penny S Bell | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336 | 2007-05-02 |
Find all providers in KENNEWICK |
Please comment or provide details below to improve the information on MS. DEANA RAE MCGLOTHLIN.
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.