Clay William Dokken, PPC | |
400 S Kendrick Ave, Suite 204, Gillette, WY 82716-3848 | |
(307) 685-7115 | |
Not Available |
Full Name | Clay William Dokken |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 400 S Kendrick Ave, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154626711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1336 (Wyoming) | Primary |
Entity Name | Specialty Counseling & Consulting |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538462783 PECOS PAC ID: 8921311911 Enrollment ID: O20150720002981 |
Mailing Address | Practice Location Address |
---|---|
Clay William Dokken, PPC 2716 Sagebrush Ave, Cheyenne, WY 82009-4437 Ph: (307) 287-5141 | Clay William Dokken, PPC 400 S Kendrick Ave, Suite 204, Gillette, WY 82716-3848 Ph: (307) 685-7115 |
Jean-raphael De Raoulx, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-2034 | |
Ms. Judeth Petersen, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-5000 Fax: 307-688-5015 | |
Jane R King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 702 S Kendrick Ave, Gillette, WY 82716 Phone: 307-688-8700 | |
Tara Reed, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 West 4-j Rd., Gillette, WY 82718 Phone: 307-682-5433 | |
Rebecca N Terry, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-3024 | |
Miss Stephanie Berens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E 4th St, Gillette, WY 82716 Phone: 073-257-7180 Fax: 307-257-7183 | |
Ms. Sarah Leger-hayworth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E 4th St Ste 9, Gillette, WY 82716 Phone: 307-257-2290 |