Harry Kevin Wade, LPC, NCC | |
3897 N 20th St Ste 1, Ozark, MO 65721-8522 | |
(417) 770-2901 | |
Not Available |
Full Name | Harry Kevin Wade |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3897 N 20th St Ste 1, Ozark, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619520368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 2020003709 (Missouri) | Primary |
Entity Name | Pamela J Wharton, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700652005 PECOS PAC ID: 9931545159 Enrollment ID: O20240311002325 |
Mailing Address | Practice Location Address |
---|---|
Harry Kevin Wade, LPC, NCC 3897 N 20th St Ste 1, Ozark, MO 65721-8522 Ph: (417) 770-2901 | Harry Kevin Wade, LPC, NCC 3897 N 20th St Ste 1, Ozark, MO 65721-8522 Ph: (417) 770-2901 |
Diane Mary Russell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 N 21st St, Ozark, MO 65721 Phone: 417-581-4849 Fax: 417-581-4839 | |
Ms. Tara Jean Forrester, MS PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6007 N 21st St, Ozark, MO 65721 Phone: 417-581-6911 | |
Michele Mears, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 S 17th Ave, Ozark, MO 65721 Phone: 417-581-4849 | |
Mr. Brian Andrew Ouellette I, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 S Solaira St, Ozark, MO 65721 Phone: 417-413-9266 | |
Melissa Milan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 South 3rd Street, Ozark, MO 65721 Phone: 417-882-6767 | |
Mr. Benjamin France, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E Lark St, Ozark, MO 65721 Phone: 785-248-3702 | |
Mrs. Beth E Cantrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6007 N 21st St, Ozark, MO 65721 Phone: 417-581-6911 |