Jason Nietzke, | |
132 Stephenson Ave Ste 101, Savannah, GA 31405-5829 | |
(912) 200-3195 | |
Not Available |
Full Name | Jason Nietzke |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 132 Stephenson Ave Ste 101, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033521687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 007803 (Georgia) | Primary |
Entity Name | Atlantic Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144578832 PECOS PAC ID: 5991941767 Enrollment ID: O20130424000077 |
Entity Name | Darsey, Black & Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679588305 PECOS PAC ID: 2264667666 Enrollment ID: O20131018001777 |
Mailing Address | Practice Location Address |
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Jason Nietzke, 132 Stephenson Ave Ste 101, Savannah, GA 31405-5829 Ph: (912) 200-3195 | Jason Nietzke, 132 Stephenson Ave Ste 101, Savannah, GA 31405-5829 Ph: (912) 200-3195 |
Tye Walcott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-344-9403 | |
Ms. E Delores Hughes, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Waters Avenue, Savannah, GA 31409 Phone: 912-345-0987 | |
Catherine Mcclure Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Reita St, Savannah, GA 31410 Phone: 904-477-1466 | |
Christadora Clymer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Bolton St, Savannah, GA 31401 Phone: 912-713-1830 | |
Dr. Clayton Vance Martin, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6711 Forest Park Dr, Savannah, GA 31406 Phone: 404-449-3028 | |
Travis Morey, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 6555 Abercorn St Ste 129, Savannah, GA 31405 Phone: 912-335-1699 Fax: 912-335-1352 | |
Alia Carata, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Executive Cir, Savannah, GA 31406 Phone: 912-373-6346 |