Pam Brown, LPC | |
2420 E 25th St, Idaho Falls, ID 83404-7549 | |
(208) 542-1026 | |
(208) 528-2945 |
Full Name | Pam Brown |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2420 E 25th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245603901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC6018 (Idaho) | Primary |
Entity Name | Willow Sage Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538611652 PECOS PAC ID: 8527341007 Enrollment ID: O20170207001660 |
Mailing Address | Practice Location Address |
---|---|
Pam Brown, LPC 2420 E 25th St, Idaho Falls, ID 83404-7549 Ph: (208) 542-1026 | Pam Brown, LPC 2420 E 25th St, Idaho Falls, ID 83404-7549 Ph: (208) 542-1026 |
Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352 | |
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447 | |
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934 | |
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712 | |
Jennie R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 | |
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335 | |
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 |