Chrystala Smith, | |
101 Adams St, Jefferson City, MO 65101-3058 | |
(573) 556-6589 | |
(573) 556-6294 |
Full Name | Chrystala Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 101 Adams St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942778485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2017042232 (Missouri) | Primary |
Entity Name | Ssm Regional Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053368159 PECOS PAC ID: 8921917352 Enrollment ID: O20050627000074 |
Mailing Address | Practice Location Address |
---|---|
Chrystala Smith, 118 N 2nd St, Saint Charles, MO 63301-2832 Ph: (636) 224-1210 | Chrystala Smith, 101 Adams St, Jefferson City, MO 65101-3058 Ph: (573) 556-6589 |
Ms. Alane Elizabeth Roath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Stephen Dittmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Susan Diane Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Metro Dr Ste B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Rhonda Karyl Myers, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 204 Metro Dr, Suite B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Adam Hatton, Counselor Medicare: Medicare Enrolled Practice Location: 210 Hoover St, Jefferson City, MO 65109 Phone: 573-632-4321 | |
Chloe Payton Rimer, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Stadium Blvd, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Gail R Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Marilyn Dr, Jefferson City, MO 65109 Phone: 573-469-5263 |