Brittany J Petersen, | |
307 W 11th St, Lamar, MO 64759-1428 | |
(417) 347-8010 | |
Not Available |
Full Name | Brittany J Petersen |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 307 W 11th St, Lamar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659984037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2020028432 (Missouri) | Primary |
106H00000X | Marriage & Family Therapist | 202002768 (Missouri) | Secondary |
Entity Name | Ozark Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
Mailing Address | Practice Location Address |
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Brittany J Petersen, Po Box 2526, Joplin, MO 64803-2526 Ph: (417) 347-7600 | Brittany J Petersen, 307 W 11th St, Lamar, MO 64759-1428 Ph: (417) 347-8010 |
Ms. Tammy Brown, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 E 11th St, Lamar, MO 64759 Phone: 417-681-0065 Fax: 417-681-0071 | |
Valerie A Barnhart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 203 W 11th St, Lamar, MO 64759 Phone: 417-667-1768 Fax: 417-944-1440 | |
Julie A Bennett, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Broadway St, Lamar, MO 64759 Phone: 417-682-5757 Fax: 417-682-5757 |