Mrs Kerrie Dee Blair, UNDER LPC SUPERVISIO | |
1511 Christy Dr, Jefferson City, MO 65101-2854 | |
(573) 632-2777 | |
(918) 647-2282 |
Full Name | Mrs Kerrie Dee Blair |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1511 Christy Dr, 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 |
---|---|---|---|
1952624272 | NPI | - | NPPES |
200123440A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | SUPERVISION (Oklahoma) | Primary |
Entity Name | Community Health Ctr Of Central Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538213244 PECOS PAC ID: 2062456015 Enrollment ID: O20050610000717 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kerrie Dee Blair, UNDER LPC SUPERVISIO 3111 B N Broadway, Poteau, OK 74953 Ph: (918) 647-2262 | Mrs Kerrie Dee Blair, UNDER LPC SUPERVISIO 1511 Christy Dr, Jefferson City, MO 65101-2854 Ph: (573) 632-2777 |
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, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 204 Metro Dr, Suite B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
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 |