Derek H Mcclure, LPC | |
90 E Leslie Ln, Columbia, MO 65202-1589 | |
(573) 875-8880 | |
(573) 442-3830 |
Full Name | Derek H Mcclure |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 90 E Leslie Ln, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023401205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2012008595 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
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Derek H Mcclure, LPC 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5214 | Derek H Mcclure, LPC 90 E Leslie Ln, Columbia, MO 65202-1589 Ph: (573) 875-8880 |
Mr. Gregory Len Boyt, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 N Garth Ave, Columbia, MO 65203 Phone: 573-673-7381 Fax: 573-875-8089 | |
Lindsay K Ingram, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937 | |
Elizabeth Catherine Whittom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway Ste 2f, Columbia, MO 65203 Phone: 573-214-0436 | |
Mr. Robert Alan Rucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 619-507-6911 | |
Renee Powers-scott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Lance Dr, Columbia, MO 65202 Phone: 573-999-6537 | |
Jared Torbet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Forum Blvd Ste G, Columbia, MO 65203 Phone: 573-239-9915 Fax: 573-340-1028 | |
Amy Michelle Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4304 S Bearfield Rd, Columbia, MO 65201 Phone: 573-874-8686 |