Mrs Kendall Lea Grayson, MA, LPC | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5000 | |
(573) 644-7880 |
Full Name | Mrs Kendall Lea Grayson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104029321 | NPI | - | NPPES |
490117009 | Medicaid | MO | |
11871325 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2006026894 (Missouri) | Primary |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kendall Lea Grayson, MA, LPC Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Mrs Kendall Lea Grayson, MA, LPC 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
Ms. Alane Elizabeth Roath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Stephen Dittmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Susan Diane Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Metro Dr Ste B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Rhonda Karyl Myers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 E High St, Jefferson City, MO 65101 Phone: 573-761-0444 | |
Adam Hatton, Counselor Medicare: Medicare Enrolled Practice Location: 210 Hoover St, Jefferson City, MO 65109 Phone: 573-632-4321 | |
Chloe Payton Rimer, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Stadium Blvd, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Gail R Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Marilyn Dr, Jefferson City, MO 65109 Phone: 573-469-5263 |