Mr Ross Little, | |
1124 College Dr, Rock Springs, WY 82901-5863 | |
(307) 352-6680 | |
(307) 352-6676 |
Full Name | Mr Ross Little |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1124 College Dr, Rock Springs, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487886495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PPC-482 (Wyoming) | Primary |
Entity Name | Southwest Counseling Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215007083 PECOS PAC ID: 5890777437 Enrollment ID: O20040607000337 |
Mailing Address | Practice Location Address |
---|---|
Mr Ross Little, 1124 College Dr, Rock Springs, WY 82901-5863 Ph: (307) 352-6680 | Mr Ross Little, 1124 College Dr, Rock Springs, WY 82901-5863 Ph: (307) 352-6680 |
Vanessa Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Dewar Dr Ste 232, Rock Springs, WY 82901 Phone: 307-352-9161 | |
Julie Anna Shockey, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Dewar Dr, Rock Springs, WY 82901 Phone: 307-630-3466 | |
Tina Sam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Katherine Bodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Miss Sadie Ann West, MS PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4000 Dewar Dr, Rock Springs, WY 82901 Phone: 307-382-3010 Fax: 307-382-6881 | |
Cynthia Hinds, Counselor Medicare: Medicare Enrolled Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Jerusha Dove Thompson, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Dewar Dr Ste 232, Rock Springs, WY 82901 Phone: 307-352-9161 |