Jodell Lynn Moon, MED, LPC | |
112 Mckinley Street, Chandler, OK 74834 | |
(405) 240-5800 | |
(405) 240-5008 |
Full Name | Jodell Lynn Moon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 112 Mckinley Street, Chandler, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477520716 | NPI | - | NPPES |
1477250716 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1424 (Wyoming) | Secondary |
101YM0800X | Counselor - Mental Health | 6583 (Oklahoma) | Primary |
Entity Name | High Country Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
Mailing Address | Practice Location Address |
---|---|
Jodell Lynn Moon, MED, LPC Red Rock Bhs, 112 Mckinley Street, Chandler, OK 74834 Ph: (405) 240-5800 | Jodell Lynn Moon, MED, LPC 112 Mckinley Street, Chandler, OK 74834 Ph: (405) 240-5800 |
Miss Holly Melissa Shelton, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Mckinley, Chandler, OK 74834 Phone: 405-528-3040 Fax: 405-240-5008 | |
Ms. Kimberly Dawn Battle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E 4th St, Chandler, OK 74834 Phone: 405-641-3437 Fax: 405-241-5215 | |
Mr. Donnie M. Waller, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Mckinley Ave, Chandler, OK 74834 Phone: 405-258-3040 Fax: 405-240-5008 | |
Albert L May, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 E 1st St, Chandler, OK 74834 Phone: 405-258-3033 Fax: 405-258-3011 | |
Belinda Farrow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Mckinley Ave, Chandler, OK 74834 Phone: 405-258-3040 Fax: 405-240-5008 | |
Ginger Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Manvel Ave, Chandler, OK 74834 Phone: 405-240-5333 | |
Jami Dea Earp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Mckinley Ave, Chandler, OK 74834 Phone: 405-258-3040 |