Ms Desiree Dianne Malam, | |
304 W Washington Ave, Richland, MO 65556-7101 | |
(877) 406-2662 | |
Not Available |
Full Name | Ms Desiree Dianne Malam |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 304 W Washington Ave, Richland, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760723134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2013006416 (Missouri) | Primary |
Entity Name | Richland Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Mailing Address | Practice Location Address |
---|---|
Ms Desiree Dianne Malam, Po Box 777, Richland, MO 65556-0777 Ph: (877) 406-2662 | Ms Desiree Dianne Malam, 304 W Washington Ave, Richland, MO 65556-7101 Ph: (877) 406-2662 |
Becki Ruggles, LPC, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 27995 Rochester Rd, Richland, MO 65556 Phone: 573-855-6857 Fax: 573-765-4350 | |
Ruth Ann Weber, LPC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Camden St, Richland, MO 65555 Phone: 573-330-5822 | |
Barbara Ann Proctor, M.A., QMHP, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 Mcclurg Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Elizabeth Bernadette Melendez-bonnot, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 877-406-2662 | |
Lynnette Kay Hall, LPC Counselor Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Aubrey Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2505 Shepherd Rd, Richland, MO 65556 Phone: 573-528-0867 |