Jessica Enchana Richard, LPC | |
604 S Walnut St, Stillwater, OK 74074-4222 | |
(405) 372-2202 | |
(405) 445-3780 |
Full Name | Jessica Enchana Richard |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 604 S Walnut St, Stillwater, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043330988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6728 (Oklahoma) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
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Jessica Enchana Richard, LPC 604 S Walnut St, Stillwater, OK 74074-4222 Ph: (405) 372-2202 | Jessica Enchana Richard, LPC 604 S Walnut St, Stillwater, OK 74074-4222 Ph: (405) 372-2202 |
Kaylie Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Duck St, Stillwater, OK 74074 Phone: 405-372-7791 | |
Mrs. Gina Clark, LPC Counselor Medicare: Medicare Enrolled Practice Location: 800 E 6th Ave Ste B, Stillwater, OK 74074 Phone: 405-372-1250 | |
Valerie Ann Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2322 W 7th Ave, Stillwater, OK 74074 Phone: 405-707-9722 | |
Ms. Leslie Erin Shuck, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W 7th Pl, Stillwater, OK 74074 Phone: 405-707-9722 | |
Rodnecca Gill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1624 Cimarron Plz, Stillwater, OK 74075 Phone: 844-458-2100 | |
Sarai Cerano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 N Duncan St, Stillwater, OK 74075 Phone: 405-532-9515 | |
Sydney Pruett, MCP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 220-240-5372 Fax: 405-445-3780 |