Mrs Diana Marie Carter, LCPC | |
727 E Etna Rd, Ottawa, IL 61350-1040 | |
(815) 434-4727 | |
(815) 434-0271 |
Full Name | Mrs Diana Marie Carter |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 727 E Etna Rd, Ottawa, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750662508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180007851 (Illinois) | Primary |
Entity Name | Crossroads Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427205111 PECOS PAC ID: 9234280710 Enrollment ID: O20090623000395 |
Mailing Address | Practice Location Address |
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Mrs Diana Marie Carter, LCPC 2960 Chartres St, P.o. Box 1488, La Salle, IL 61301-1097 Ph: (815) 224-1610 | Mrs Diana Marie Carter, LCPC 727 E Etna Rd, Ottawa, IL 61350-1040 Ph: (815) 434-4727 |
Kaitlyn Rinke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 E Etna Rd, Ottawa, IL 61350 Phone: 815-434-4727 | |
Kristina Thrush, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 815-324-2719 Fax: 630-703-1845 | |
Ms. Carol Ruth Buckner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Drive, Ottawa, IL 61350 Phone: 815-434-4382 Fax: 815-431-5528 | |
Ashley Holcman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 630-708-0197 | |
Nina Renee Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 E Etna Rd, Ottawa, IL 61350 Phone: 815-993-1614 | |
Melinda Vesely, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502 Fax: 815-324-5102 | |
Rachel Donoho, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 E 1769 Rd, Ottawa, IL 61350 Phone: 618-322-5737 |