MEDICARE: MS. PRISCILLA TRAGESSER HONE LMHC, CDP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00002690	WA
2	101YM0800X	Mental Health Counselor	LH00004065	WA

General Provider Information

NPI Number	:	1548338007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PRISCILLA TRAGESSER HONE LMHC, CDP

Provider Business Mailing Address
First Line	:	1007 KOALA DR
Second Line	:
City	:	OMAK
State	:	WA
Zip	:	98841-9247
Country	:	US
Telephone Number	:	509-826-6191
Fax Number	:	509-826-3029

Provider Business Practice Location Address
First Line	:	1007 KOALA DR
Second Line	:
City	:	OMAK
State	:	WA
Zip	:	98841-9247
Country	:	US
Telephone Number	:	509-826-8409
Fax Number	:	509-826-3029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	02/01/2024

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