Chester C Mardis, LPC/NCC | |
493 Eastland Dr., Twin Falls, ID 83301 | |
(208) 732-0995 | |
(208) 732-0993 |
Full Name | Chester C Mardis |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 493 Eastland Dr., Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114203031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC4840 (Idaho) | Primary |
Entity Name | Positive Connections, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942301106 PECOS PAC ID: 3971822313 Enrollment ID: O20150506000548 |
Mailing Address | Practice Location Address |
---|---|
Chester C Mardis, LPC/NCC P.o. Box 47, Twin Falls, ID 83303 Ph: (208) 732-0995 | Chester C Mardis, LPC/NCC 493 Eastland Dr., Twin Falls, ID 83301 Ph: (208) 732-0995 |
Stephanie Lynn Callen, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W Ste 1000, Twin Falls, ID 83301 Phone: 208-736-5048 | |
Linda K Waggoner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland, Twin Falls, ID 83303 Phone: 208-732-0995 Fax: 208-732-0993 | |
Mrs. Helen Flinn, ISAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Gooding St N, Twin Falls, ID 83301 Phone: 208-736-5048 Fax: 208-735-2126 | |
Nohemi Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 River Vista Pl Ste 201, Twin Falls, ID 83301 Phone: 208-858-5175 | |
Mrs. Christy Hansen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Falls Ave E Ste 703, Twin Falls, ID 83301 Phone: 208-737-0572 | |
Christina J Satterwhite, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Martin St, Twin Falls, ID 83301 Phone: 208-733-7186 Fax: 208-733-7178 | |
Laurie Hewitt Geren, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Chase Dr, Twin Falls, ID 83301 Phone: 208-539-5751 Fax: 208-733-9168 |