Provider Demographics
NPI:1053822502
Name:PLASCENCIA, MEGAN E (MA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:PLASCENCIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELISE
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:8936 MILBANKE DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-7708
Mailing Address - Country:US
Mailing Address - Phone:360-789-4350
Mailing Address - Fax:
Practice Address - Street 1:4804 LACEY BLVD SE STE A
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-5733
Practice Address - Country:US
Practice Address - Phone:360-799-5782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health