Mr Dale Alan Guebert, LCPC | |
4709 44 St, Suite #5, Rock Island, IL 61201-7187 | |
(309) 793-3460 | |
(309) 732-0551 |
Full Name | Mr Dale Alan Guebert |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 4709 44 St, Rock Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083755433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Illinois) | Primary |
Entity Name | Southpark Psychology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558470419 PECOS PAC ID: 8527203090 Enrollment ID: O20130404000285 |
Mailing Address | Practice Location Address |
---|---|
Mr Dale Alan Guebert, LCPC 4709 44 St, Suite #5, Rock Island, IL 61201-7187 Ph: (309) 793-3460 | Mr Dale Alan Guebert, LCPC 4709 44 St, Suite #5, Rock Island, IL 61201-7187 Ph: (309) 793-3460 |
Amber Leanne Cozad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61254 Phone: 309-779-2031 | |
Ibrahim K Tarawneh, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3006 | |
Rita Sterling, MCJ, CADC, CPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 19th St, Department Of Veterans Affairs, Ste. M2, Rock Island, IL 61201 Phone: 309-786-3591 Fax: 309-786-5135 | |
Brandon Alan Kutmas, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4709 44th St Ste 5, Rock Island, IL 61201 Phone: 309-306-1648 Fax: 309-213-9438 | |
Amber Michelle Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 | |
Natividad Keim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-786-0770 | |
Mrs. Stacy Hayes Kane, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 3rd Avenue, Suite 512, Rock Island, IL 61201 Phone: 309-786-4491 Fax: 309-786-0205 |