Raeann Boothe, | |
313 Chieftain Dr, Logan, OH 43138 | |
(740) 385-2555 | |
(740) 773-4032 |
Full Name | Raeann Boothe |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 313 Chieftain Dr, Logan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144728205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Westbrook Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952357568 PECOS PAC ID: 3375443054 Enrollment ID: O20040109000700 |
Mailing Address | Practice Location Address |
---|---|
Raeann Boothe, 1049 Western Ave, Chillicothe, OH 45601-1104 Ph: (740) 773-4366 | Raeann Boothe, 313 Chieftain Dr, Logan, OH 43138 Ph: (740) 385-2555 |
Sara B Horn, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Mrs. Danielle Arnett, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-7756 Fax: 740-777-4014 | |
Brock Wolford, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 | |
Mrs. Rebecca Faith Rich-fidler, MA, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-6165 Fax: 740-777-4014 | |
Sierra Schaaf, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-773-4032 | |
Nicole K Egger, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Debra Lynn Broderick, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 Fax: 740-879-2970 |