Leah Jo Wallace, LPC | |
915 Highway 84 W, Caruthersville, MO 63830-8113 | |
(573) 333-5975 | |
Not Available |
Full Name | Leah Jo Wallace |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 915 Highway 84 W, Caruthersville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235804121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Family Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Mailing Address | Practice Location Address |
---|---|
Leah Jo Wallace, LPC 935 State Route Vv, Kennett, MO 63857-3822 Ph: (573) 888-5925 | Leah Jo Wallace, LPC 915 Highway 84 W, Caruthersville, MO 63830-8113 Ph: (573) 333-5975 |
Amberly D Pritchard, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 109 E 5th St, Caruthersville, MO 63830 Phone: 573-359-9803 Fax: 573-359-0990 | |
Alexis Seabaugh, LPC Counselor Medicare: Medicare Enrolled Practice Location: 915 Highway 84 W, Caruthersville, MO 63830 Phone: 573-333-5875 | |
Angela G Hatch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Highway 84 W, Caruthersville, MO 63830 Phone: 573-333-5875 Fax: 573-333-5876 | |
Brook Cardenas, LPC Counselor Medicare: Medicare Enrolled Practice Location: 915 Highway 84 W, Caruthersville, MO 63830 Phone: 573-333-5875 | |
Lynsea Bierschwal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Highway 84 W, Caruthersville, MO 63830 Phone: 573-333-5875 | |
Mrs. Towina Jones, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Ward Ave, Caruthersville, MO 63830 Phone: 314-239-1007 |