Joshua David Wilson, LMHC | |
1015 Michigan Ave, Logansport, IN 46947-1526 | |
(765) 617-8040 | |
Not Available |
Full Name | Joshua David Wilson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1015 Michigan Ave, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194478776 | NPI | - | NPPES |
39003482A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39003482A (Indiana) | Primary |
Entity Name | Four County Comprehensive Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
Mailing Address | Practice Location Address |
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Joshua David Wilson, LMHC 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (765) 617-8040 | Joshua David Wilson, LMHC 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (765) 617-8040 |
Amanda L Bloom, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 | |
Ms. Margarete Elizabeth Brandenburg, LMHC, M.DIV., MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 North St, Ste 2a, Logansport, IN 46947 Phone: 574-727-0819 | |
Ms. Amy L Yoder, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave Ste 170, Logansport, IN 46947 Phone: 574-753-5611 Fax: 574-739-1228 | |
Kathy Coffing, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Kathy Wierzchowski, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Mr. William Tracy Scott, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Chase Park, Logansport, IN 46947 Phone: 574-732-1166 Fax: 574-753-4117 | |
Mr. Thomas Jeffory Mcshannock, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6765 E 800 N, Logansport, IN 46947 Phone: 574-721-6866 |