Ms Pamela Wharton, LPC | |
315 S Main Ave, Bolivar, MO 65613-2052 | |
(417) 326-2902 | |
(417) 326-4555 |
Full Name | Ms Pamela Wharton |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 315 S Main Ave, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083047690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2012038134 (Missouri) | Primary |
Entity Name | Pamela J Wharton, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700652005 PECOS PAC ID: 9931545159 Enrollment ID: O20240311002325 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela Wharton, LPC 315 S Main Ave, Bolivar, MO 65613-2052 Ph: (417) 326-2902 | Ms Pamela Wharton, LPC 315 S Main Ave, Bolivar, MO 65613-2052 Ph: (417) 326-2902 |
Nicole Marie Twenter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1195 N Oakland Ave, Bolivar, MO 65613 Phone: 660-621-4451 | |
Kelley White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Jackson St, B, Bolivar, MO 65613 Phone: 417-777-1458 | |
Ms. Misty Ann Divin, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Angel Haun, MAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Jackson St, Bolivar, MO 65613 Phone: 417-619-1595 | |
Heather Nicole Harrison, EDUCATION BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3376 S Springfield Ave, Bolivar, MO 65613 Phone: 417-777-6980 | |
Zackery Koch, BA, MAADAC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Jackson St, Bolivar, MO 65613 Phone: 417-410-7474 |