Jordan Kristine Graves, | |
1301 N 47th St, Kansas City, KS 66102-1705 | |
(913) 287-0007 | |
Not Available |
Full Name | Jordan Kristine Graves |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1301 N 47th St, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598306888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3516 (Kansas) | Primary |
Entity Name | Wyandot Center For Community Behavioral Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629159389 PECOS PAC ID: 5496745325 Enrollment ID: O20051109000434 |
Mailing Address | Practice Location Address |
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Jordan Kristine Graves, 4850 W 207th St, Bucyrus, KS 66013-8502 Ph: (913) 710-8006 | Jordan Kristine Graves, 1301 N 47th St, Kansas City, KS 66102-1705 Ph: (913) 287-0007 |
Francisco Torres-gonzalez, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 N 5th St, Kansas City, KS 66101 Phone: 913-831-2820 Fax: 913-832-0262 | |
Kelsey Brush, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 W 43rd Ave, Kansas City, KS 66103 Phone: 913-708-8247 | |
Marvin Bowens Sr., LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 N 5th St, Kansas City, KS 66101 Phone: 913-342-0888 Fax: 913-342-2466 | |
Linda K Warner, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7924 Riverview Ave, Kansas City, KS 66112 Phone: 913-971-0600 | |
Kate Acton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2870 W 47th Ave, Kansas City, KS 66103 Phone: 913-725-0770 | |
Jeanne Bryant, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 757 Armstrong Ave, Kansas City, KS 66101 Phone: 913-226-5636 | |
Jennifer Dawdy, LSCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Minnesota Ave Ste 208, Kansas City, KS 66101 Phone: 913-544-4877 |