Jon Decker, | |
1690 Elm St Ste 300, Dubuque, IA 52001-3679 | |
(563) 690-2403 | |
Not Available |
Full Name | Jon Decker |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1690 Elm St Ste 300, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881016137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001524 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 001524 (Iowa) | Primary |
Entity Name | Crescent Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720146319 PECOS PAC ID: 0345343158 Enrollment ID: O20070806000462 |
Mailing Address | Practice Location Address |
---|---|
Jon Decker, 1690 Elm St Ste 300, Dubuque, IA 52001-3679 Ph: (563) 690-2403 | Jon Decker, 1690 Elm St Ste 300, Dubuque, IA 52001-3679 Ph: (563) 690-2403 |
Matthew David Leifker, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006 | |
Mrs. Kristin Camille Nolen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Dr Ste 200, Dubuque, IA 52001 Phone: 563-582-0145 Fax: 563-582-0722 | |
Alison Deborah Schneider, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Cedar Cross Rd, Dubuque, IA 52003 Phone: 563-307-1553 | |
Sophie Rossman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Jones St Ste 210, Dubuque, IA 52001 Phone: 563-543-7634 | |
Mrs. Genevieve A Balajadia, MA, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006 | |
Riley Kate Andrews, MA, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Central Ave, Dubuque, IA 52001 Phone: 563-265-8694 Fax: 866-496-4073 | |
Gregory Weber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Dr, Dubuque, IA 52001 Phone: 563-582-0145 |