Ms Kara Jo Hudson, LPC | |
1305 S Kimball Ave, Caldwell, ID 83605-4542 | |
(208) 459-1039 | |
(208) 466-2667 |
Full Name | Ms Kara Jo Hudson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1305 S Kimball Ave, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427487479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC5408 (Idaho) | Primary |
Entity Name | Pathways Of Idaho, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326466988 PECOS PAC ID: 4789808759 Enrollment ID: O20140612001789 |
Mailing Address | Practice Location Address |
---|---|
Ms Kara Jo Hudson, LPC 204 10th Ave S, Nampa, ID 83651-3832 Ph: (208) 466-2229 | Ms Kara Jo Hudson, LPC 1305 S Kimball Ave, Caldwell, ID 83605-4542 Ph: (208) 459-1039 |
Dia Michelle Rivers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15134 Greenwing St, Caldwell, ID 83607 Phone: 208-740-3372 | |
Mr. John K Bishop, LPC LICENSED PROFESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 16226 Horizon Dr, Caldwell, ID 83607 Phone: 208-602-4680 Fax: 208-454-9770 | |
Ms. Lyndell Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Blaine St, Caldwell, ID 83605 Phone: 208-880-6127 Fax: 208-455-6244 | |
Mrs. Wanda Lee Newton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Main Street, Suite B, Caldwell, ID 83605 Phone: 208-454-2471 | |
Michelle Lynn Drinkwine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 S 7th Ave, Caldwell, ID 83605 Phone: 208-454-1576 Fax: 208-454-9863 | |
Jennifer Padilla, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-318-1362 Fax: 208-345-3502 | |
Mr. Rusty James Wattier, SUDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Dearborn St, Caldwell, ID 83605 Phone: 208-606-9494 |