Jerry Michael Burton, LPCC | |
109 Nancy Cox Dr, Campbellsville, KY 42718-8898 | |
(270) 572-1290 | |
Not Available |
Full Name | Jerry Michael Burton |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 109 Nancy Cox Dr, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770674186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 301 (Kentucky) | Primary |
Entity Name | Communicare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295872638 PECOS PAC ID: 9830097815 Enrollment ID: O20031229000758 |
Mailing Address | Practice Location Address |
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Jerry Michael Burton, LPCC 109 Nancy Cox Dr, Campbellsville, KY 42718-8898 Ph: () - | Jerry Michael Burton, LPCC 109 Nancy Cox Dr, Campbellsville, KY 42718-8898 Ph: (270) 572-1290 |
Ms. Bridget Louise Hahn Southwood, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768 | |
Ruby Colvin, MHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424 | |
Wanda Washington, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Watertower Bypass, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 606-678-5296 | |
Leletha Darlene Conover, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768 | |
Debra De La Garza, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 Quail Ridge Rd, Campbellsville, KY 42718 Phone: 270-505-2665 | |
Ginger Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424 | |
Viktoria Krell, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Road, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 270-465-7993 |