Jerri Lynn Stanley, | |
2545 Sw M St, Richmond, IN 47374 | |
(765) 969-9777 | |
Not Available |
Full Name | Jerri Lynn Stanley |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2545 Sw M St, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225119811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162275 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | S.2207800 (Ohio) | Primary |
Entity Name | Darke County Recovery Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287764 PECOS PAC ID: 7315176005 Enrollment ID: O20140128001913 |
Mailing Address | Practice Location Address |
---|---|
Jerri Lynn Stanley, Po Box 487, Richmond, IN 47375-0487 Ph: (765) 983-8000 | Jerri Lynn Stanley, 2545 Sw M St, Richmond, IN 47374 Ph: (765) 969-9777 |
Tami Vance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Nancy Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Mr. Dallas Randall Wilson, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Sw 5th St, Richmond, IN 47374 Phone: 765-288-1928 Fax: 765-935-1582 | |
Emily Jarboe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Leia Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Monica Kinley-kuhn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Michael Delaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 |