Kerry Ryall, LPC | |
2003 Se Walton Blvd, Bentonville, AR 72712-3725 | |
(479) 750-2020 | |
(479) 750-4843 |
Full Name | Kerry Ryall |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2003 Se Walton Blvd, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851528707 | NPI | - | NPPES |
M1925 | Medicaid | NM |
Entity Name | Eason Counseling And Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861834368 PECOS PAC ID: 5496082026 Enrollment ID: O20190806000276 |
Mailing Address | Practice Location Address |
---|---|
Kerry Ryall, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Kerry Ryall, LPC 2003 Se Walton Blvd, Bentonville, AR 72712-3725 Ph: (479) 750-2020 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |