Mrs Carrie Gurgel, MED | |
422 17th St, Lewiston, ID 83501-2526 | |
(208) 743-4680 | |
(208) 743-1756 |
Full Name | Mrs Carrie Gurgel |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 422 17th St, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710970462 | NPI | - | NPPES |
000010016553 | Other | ID | BLUESHIELD OF IDAHO |
X0359 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC836 (Idaho) | Primary |
Entity Name | Dr Kracke And Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851448781 PECOS PAC ID: 1951206796 Enrollment ID: O20031204000450 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carrie Gurgel, MED Po Box 2145, Lewiston, ID 83501-1465 Ph: (208) 743-4680 | Mrs Carrie Gurgel, MED 422 17th St, Lewiston, ID 83501-2526 Ph: (208) 743-4680 |
Melinda Ellen Cook, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Miller St, Lewiston, ID 83501 Phone: 208-750-1802 Fax: 208-750-1803 | |
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015 | |
Mr. Larry Bearden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504 | |
Beverly Lynn Fowler, LPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Main Street, Lewiston, ID 83501 Phone: 208-750-1000 Fax: 208-750-1000 | |
Sara Light Bennett, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294 | |
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685 | |
Crystal Ann Nystrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 Main St, Lewiston, ID 83501 Phone: 208-791-0129 Fax: 208-743-1170 |