Jason Williamson, | |
852 Williamson Ln, Eagle, ID 83616-6000 | |
(208) 310-9710 | |
Not Available |
Full Name | Jason Williamson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 852 Williamson Ln, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649923905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-9159 (Idaho) | Primary |
Entity Name | Affect Therapeutics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942948351 PECOS PAC ID: 4284071903 Enrollment ID: O20240502000830 |
Mailing Address | Practice Location Address |
---|---|
Jason Williamson, 852 Williamson Ln, Eagle, ID 83616-6000 Ph: (208) 310-9710 | Jason Williamson, 852 Williamson Ln, Eagle, ID 83616-6000 Ph: (208) 310-9710 |
Ms. Carol Tidwell, MS. LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt A308, Eagle, ID 83616 Phone: 208-546-1808 | |
Kenzington Price, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616 Phone: 208-938-2836 Fax: 208-938-2897 | |
Angela Brewster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 W State St, Eagle, ID 83616 Phone: 406-570-4698 | |
Mrs. Megan Irene Osborne, PH.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 764 E. Ashbourne Ln., Eagle, ID 83616 Phone: 208-734-0022 Fax: 208-734-0855 | |
Dr. Logan Marsh Lamprecht, PH.D., LCPC, M. COUN Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 E Riverside Dr # 120533e, Eagle, ID 83616 Phone: 208-339-1279 | |
Megan Koehler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-861-5279 | |
Jacob Gary Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1197 S River Flow Way, Eagle, ID 83616 Phone: 208-921-0796 |