Alison Cornelius Peterson, LPC-C | |
109 N Fairland, Pryor, OK 74361-4203 | |
(918) 825-1406 | |
Not Available |
Full Name | Alison Cornelius Peterson |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 109 N Fairland, Pryor, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194336826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Oklahoma) | Primary |
Entity Name | Anew Dawn Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033758453 PECOS PAC ID: 9537574983 Enrollment ID: O20210216002445 |
Mailing Address | Practice Location Address |
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Alison Cornelius Peterson, LPC-C 109 N Fairland, Pryor, OK 74361-4203 Ph: (918) 825-1406 | Alison Cornelius Peterson, LPC-C 109 N Fairland, Pryor, OK 74361-4203 Ph: (918) 825-1406 |
Breanna Nicole Cook, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1401 Fax: 918-825-1406 | |
Jacqueline Marie Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 | |
Ladena Carol Moore, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S E 1st, Pryor, OK 74361 Phone: 918-825-4115 Fax: 918-825-6612 | |
Mrs. Kara Jamison, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 | |
Courtney Shiann Anderson, BHP Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
Charity Dalaina Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-520-0722 | |
Janette Marie Nuspl, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 |