Mrs Lacey Jo Anderson, | |
25224 W. Eames St., Channahon, IL 60410-3102 | |
(815) 467-8181 | |
Not Available |
Full Name | Mrs Lacey Jo Anderson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 25224 W. Eames St., Channahon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861872558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180 (Illinois) | Primary |
Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
Mailing Address | Practice Location Address |
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Mrs Lacey Jo Anderson, 25224 W. Eames St., Channahon, IL 60410-3102 Ph: (815) 467-8181 | Mrs Lacey Jo Anderson, 25224 W. Eames St., Channahon, IL 60410-3102 Ph: (815) 467-8181 |
Michael Ragan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 25224 W Eames St, Channahon, IL 60410 Phone: 815-467-8181 | |
Mrs. Tania Marie Garcia, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 25224 W Eames St, Channahon, IL 60410 Phone: 815-791-1360 | |
Maryann Cook, M.A., L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 23157 S Thomas Dillon Dr, Channahon, IL 60410 Phone: 815-467-8181 Fax: 818-828-5696 | |
Mrs. Jaclyn Wesolowski, MA, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 25224 W Eames St, Channahon, IL 60410 Phone: 815-467-8181 | |
Taylor Krull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26113 S White Oak Trl, Channahon, IL 60410 Phone: 815-474-5934 | |
Sheryl M Janz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27240 W Saxony Dr Ste 201, Channahon, IL 60410 Phone: 815-467-1518 Fax: 815-467-7419 | |
Amanda Lee Redwine, Counselor Medicare: Medicare Enrolled Practice Location: 27241 W Red Wing Ln, Channahon, IL 60410 Phone: 862-438-7325 |