Ronnie Drake I, | |
200 Booth St, Elkton, MD 21921-5657 | |
(410) 996-5104 | |
(410) 996-5725 |
Full Name | Ronnie Drake I |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 200 Booth St, Elkton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760863179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | LC2369 (Maryland) | Primary |
Entity Name | Totally Whole Pastoral Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811341548 PECOS PAC ID: 9032405717 Enrollment ID: O20160906002186 |
Mailing Address | Practice Location Address |
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Ronnie Drake I, 200 Booth St, Elkton, MD 21921-5657 Ph: () - | Ronnie Drake I, 200 Booth St, Elkton, MD 21921-5657 Ph: (410) 996-5104 |
Ms. Christine C Prather, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275b W Pulaski Hwy, Elkton, MD 21921 Phone: 410-620-7161 | |
Emily Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3400 | |
Mrs. Tonia Casen Mcmillan, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081 | |
Andrew Nelson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-5104 | |
Jan L Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081 | |
Gabrielle Pasua Kennard, LSCW-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3450 | |
Ms. Megan L. Mullins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 Phone: 410-491-8201 |