Jerry W Walker, LPC | |
1230 N Duquesne Rd, Joplin, MO 64801-1509 | |
(417) 782-1443 | |
(417) 782-3240 |
Full Name | Jerry W Walker |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1230 N Duquesne Rd, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699766089 | NPI | - | NPPES |
200671770A | Medicaid | KS | |
200491030A | Medicaid | OK | |
494803802 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2000167859 (Missouri) | Primary |
Entity Name | College Skyline Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598764110 PECOS PAC ID: 0749383842 Enrollment ID: O20070309000442 |
Mailing Address | Practice Location Address |
---|---|
Jerry W Walker, LPC 1230 N Duquesne Rd, Joplin, MO 64801-1509 Ph: (417) 782-1443 | Jerry W Walker, LPC 1230 N Duquesne Rd, Joplin, MO 64801-1509 Ph: (417) 782-1443 |
Darla Wyatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3405 S. Hammons Blvd., Joplin, MO 64804 Phone: 417-319-4388 | |
Katlyn B Valentine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3220 Wisconsin Ave, Joplin, MO 64804 Phone: 417-347-7730 | |
Melissa Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Duquesne Rd, Joplin, MO 64801 Phone: 417-782-1443 Fax: 417-782-3240 | |
Alisha Lynn Langley, Counselor Medicare: Medicare Enrolled Practice Location: 3901 E 32nd St, Joplin, MO 64804 Phone: 417-347-7073 | |
Dr. Michael Simon Londe, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 E 32nd St Ste 1, Joplin, MO 64804 Phone: 417-781-2868 Fax: 417-781-1922 | |
Caitlin M Overfelt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 W 30th St, Joplin, MO 64804 Phone: 417-347-7580 | |
Nathan Glen Honeycutt, MSC, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 1949 Snowberry Ln, Joplin, MO 64804 Phone: 417-347-7783 |