Angela Marie Mcallister, CADACIV, ICAADC | |
706 Green Blvd, Aurora, IN 47001-1506 | |
(812) 584-3615 | |
(812) 720-3907 |
Full Name | Angela Marie Mcallister |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 706 Green Blvd, Aurora, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740763937 | NPI | - | NPPES |
Entity Name | Cleanslate Medical Group Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538600630 PECOS PAC ID: 4486909769 Enrollment ID: O20180611002156 |
Mailing Address | Practice Location Address |
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Angela Marie Mcallister, CADACIV, ICAADC 706 Green Blvd, Aurora, IN 47001-1506 Ph: (812) 584-3615 | Angela Marie Mcallister, CADACIV, ICAADC 706 Green Blvd, Aurora, IN 47001-1506 Ph: (812) 584-3615 |
Kaitlyn Bailey, CADACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-727-3504 Fax: 812-727-3504 | |
Jeffrey Craven, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 107 Bridgeway St, Aurora, IN 47001 Phone: 859-757-0717 Fax: 859-331-2425 | |
Jacqueline Marie Vinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Pruyn St, Aurora, IN 47001 Phone: 812-221-0546 | |
Mrs. Lori Ann James, BS, CADAC IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-290-7401 |