Daniel P Replogle | Lacey, WA • PECOS Search

Daniel P Replogle

Counselor

Behavioral Health & Social Service Providers

525 Lilly Rd NE Ste 250, Lacey, WA 98506-5101

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel P Replogle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710605829
Provider Type
Individual
Full Name
Replogle, Daniel P
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/16/2022
Last Updated
8/16/2022

Contact Information

Practice Location

525 Lilly Rd NE Ste 250, Lacey, WA 98506-5101

Unlisted Fax

Mailing Location

525 Lilly Rd NE Ste 250, Olympia, WA 98506-5101

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License SA61333669 Washington