Ms Zoe Bianca Dale, MA, LPC | |
306 West 5th Avenue, Nome, AK 99762 | |
(907) 443-3494 | |
(907) 443-5915 |
Full Name | Ms Zoe Bianca Dale |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 306 West 5th Avenue, Nome, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144669920 | NPI | - | NPPES |
MH0212 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC005410 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Ms Zoe Bianca Dale, MA, LPC Po Box 1197, Nome, AK 99762-1197 Ph: (404) 333-2399 | Ms Zoe Bianca Dale, MA, LPC 306 West 5th Avenue, Nome, AK 99762 Ph: (907) 443-3494 |
Mrs. Jennifer L Morton, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 505 E 6th Ave, Nome, AK 99762 Phone: 907-843-0933 | |
Carolina Miller, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Greg Kruschek, Nome, AK 99762 Phone: 907-443-3344 | |
Kara Ta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division St, Nome, AK 99762 Phone: 907-443-3344 | |
Aura Chasteen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 Division Street, Nome, AK 99762 Phone: 907-443-3344 | |
Kirsten Hagen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division St, Nome, AK 99762 Phone: 907-443-3344 | |
Mr. Jerry Kowchee Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Avenue, Nome, AK 99762 Phone: 907-443-3290 | |
Penny Lynn Schaeffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division Street, Nome, AK 99762 Phone: 907-443-3344 |