Serena Anne Frost, CADC | |
12 Health Services Dr, Dekalb, IL 60115-9637 | |
(815) 756-4875 | |
(815) 756-2944 |
Full Name | Serena Anne Frost |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 12 Health Services Dr, Dekalb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336586056 | NPI | - | NPPES |
30910 | Other | IL | CADC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 30910 (Illinois) | Primary |
Entity Name | Dekalb Behavioral Health Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872 |
Mailing Address | Practice Location Address |
---|---|
Serena Anne Frost, CADC 12 Health Services Dr, Dekalb, IL 60115-9637 Ph: (815) 756-4875 | Serena Anne Frost, CADC 12 Health Services Dr, Dekalb, IL 60115-9637 Ph: (815) 756-4875 |
Christi Johnson, B.S., M.H.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-5849 | |
Victoria Tullock, MSW Counselor Medicare: Medicare Enrolled Practice Location: 631 South First St., Dekalb, IL 60115 Phone: 815-756-8501 | |
Christine Alexandra Espe Maxwell, MSED, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944 | |
Alexis Herod, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N 6th St, Dekalb, IL 60115 Phone: 815-375-5261 | |
Ms. Deborah M Geiger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8616 Fax: 815-758-7569 | |
Jasmine Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Dr, Dekalb, IL 60115 Phone: 815-758-8616 | |
Tracy A Diehl, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 570 Devonaire Pkwy, Dekalb, IL 60115 Phone: 815-761-3382 |