Kathryn Marie Rawls, MA, LCPC | |
1007 W Main St, Fairfield, IL 62837-2308 | |
(618) 842-4470 | |
(618) 842-3437 |
Full Name | Kathryn Marie Rawls |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1007 W Main St, Fairfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265561658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180007778 (Illinois) | Primary |
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
Mailing Address | Practice Location Address |
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Kathryn Marie Rawls, MA, LCPC Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Kathryn Marie Rawls, MA, LCPC 1007 W Main St, Fairfield, IL 62837-2308 Ph: (618) 842-4470 |
Miss Chloe Lane Weaver, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 North Basin Road, Fairfield, IL 62837 Phone: 618-516-5326 | |
Mr. Alvin Ewing, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 N. Basin Road, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-4154 | |
Dr. William A Victor, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S 1st St, Fairfield, IL 62837 Phone: 618-516-3337 Fax: 618-842-2120 | |
Ms. Shari Winter, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-4154 | |
Ms. Lori Esmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 North Basin Road, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-4154 | |
Renae Robertson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 |