Jessica Baum, | |
357 Kansas Ave Se, Huron, SD 57350-2517 | |
(605) 352-8596 | |
(605) 352-7001 |
Full Name | Jessica Baum |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 357 Kansas Ave Se, Huron, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609208230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Community Counseling Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932167277 PECOS PAC ID: 9133111875 Enrollment ID: O20040401000727 |
Mailing Address | Practice Location Address |
---|---|
Jessica Baum, 357 Kansas Ave Se, Huron, SD 57350-2517 Ph: (605) 352-8596 | Jessica Baum, 357 Kansas Ave Se, Huron, SD 57350-2517 Ph: (605) 352-8596 |
Mr. Jack W Thomson, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 Fax: 605-352-7001 | |
Angela M Remily, Counselor Medicare: Not Enrolled in Medicare Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 Fax: 605-352-7001 | |
Mr. Donald Ashley Ferrier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 Mcilvane Ct Sw, Huron, SD 57350 Phone: 605-354-0021 | |
Ashley Lambert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 Fax: 605-352-7001 | |
Ms. Cynthia Renee Upchurch, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 | |
Nikki L Eining, Counselor Medicare: Accepting Medicare Assignments Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 | |
Whitney Kroupa, Counselor Medicare: Accepting Medicare Assignments Practice Location: 357 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8596 Fax: 605-352-7001 |