Jonathon Walton, | |
308 Hadley Ave, Oakwood, OH 45419-2610 | |
(937) 369-0863 | |
Not Available |
Full Name | Jonathon Walton |
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Gender | Male |
Speciality | Counselor |
Location | 308 Hadley Ave, Oakwood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962969311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Miami Valley Therapy Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730832304 PECOS PAC ID: 4688016579 Enrollment ID: O20240523001439 |
Mailing Address | Practice Location Address |
---|---|
Jonathon Walton, 308 Hadley Ave, Oakwood, OH 45419-2610 Ph: (937) 369-0863 | Jonathon Walton, 308 Hadley Ave, Oakwood, OH 45419-2610 Ph: (937) 369-0863 |
Jithin Vijayan, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Lookout Dr, Oakwood, OH 45419 Phone: 937-443-7019 Fax: 937-353-9386 | |
Ronda Doster, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Hadley Ave, Oakwood, OH 45419 Phone: 937-369-0863 | |
Shelby Link, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Hadley Ave, Oakwood, OH 45419 Phone: 937-369-0863 |