Jonathan Hudak, LPC, NCC, MA | |
406 N Spring St Ste 2, Perryville, MO 63775-1912 | |
(573) 547-8305 | |
(573) 547-8306 |
Full Name | Jonathan Hudak |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 406 N Spring St Ste 2, Perryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871895227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2010038924 (Missouri) | Primary |
Entity Name | Community Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235244757 PECOS PAC ID: 9436142460 Enrollment ID: O20040415000678 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Hudak, LPC, NCC, MA 406 N Spring St Ste 2, Perryville, MO 63775-1912 Ph: (573) 547-8305 | Jonathan Hudak, LPC, NCC, MA 406 N Spring St Ste 2, Perryville, MO 63775-1912 Ph: (573) 547-8305 |
Carrie G Schubert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Saint Joseph St, Perryville, MO 63775 Phone: 573-517-3951 Fax: 866-517-0663 | |
Brenda Kay Schmidt, RN MA NCC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Tanglewood Dr, Perryville, MO 63775 Phone: 573-547-9963 Fax: 573-547-3063 | |
Mrs. Dawn Shelley Wann, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 N Spring St Ste 2, Perryville, MO 63775 Phone: 573-547-8305 | |
Sheila Lynn Cannon, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 N Spring St Ste 2, Perryville, MO 63775 Phone: 573-547-8305 Fax: 573-547-8306 | |
Mary P Esswein, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17 E Saint Joseph St, Perryville, MO 63775 Phone: 573-547-4553 | |
Elizabeth Anne Rowe, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 S Main St Ste 1, Perryville, MO 63775 Phone: 573-579-9405 | |
Stacy Renee Wengert, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 N Spring St Ste 2, Perryville, MO 63775 Phone: 573-547-8305 Fax: 573-547-8306 |