Mary Susan Chittum, LPC | |
311 S Monroe Ave, Covington, VA 24426-1635 | |
(540) 965-2100 | |
(540) 965-2105 |
Full Name | Mary Susan Chittum |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 311 S Monroe Ave, Covington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902439672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701008711 (Virginia) | Primary |
Entity Name | Alleghany Highlands Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136151 PECOS PAC ID: 0840392544 Enrollment ID: O20080408000854 |
Mailing Address | Practice Location Address |
---|---|
Mary Susan Chittum, LPC 205 E Hawthorne St, Covington, VA 24426-1620 Ph: (540) 965-6135 | Mary Susan Chittum, LPC 311 S Monroe Ave, Covington, VA 24426-1635 Ph: (540) 965-2100 |
Nadine Wykle, LPC; CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 S Monroe Ave, Covington, VA 24426 Phone: 540-965-2100 | |
Ms. Celeste Bagley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 311 S Monroe Ave, Covington, VA 24426 Phone: 540-965-2100 | |
Ms. Teresa Lee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 S Monroe Ave, Covington, VA 24426 Phone: 540-965-2100 Fax: 540-965-2105 | |
Stephanie Waddell Hepler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 S Monroe Ave, Covington, VA 24426 Phone: 540-965-2100 Fax: 540-965-2105 | |
William F. Krafft, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 S Monroe Ave, Covington, VA 24426 Phone: 540-965-2100 Fax: 540-965-2105 | |
Dustin Shane Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 273 W Main St, Covington, VA 24426 Phone: 540-965-6468 Fax: 540-965-9268 | |
Telia Rashaun Godfrey, M.A., LMHP-RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 S Monroe Ave, Covington, VA 24426 Phone: 540-965-6468 Fax: 540-965-9268 |