Shannon Doris Keasler, LPC | |
3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | |
(573) 686-1200 | |
Not Available |
Full Name | Shannon Doris Keasler |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720501984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2021014911 (Missouri) | Primary |
Entity Name | Family Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Mailing Address | Practice Location Address |
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Shannon Doris Keasler, LPC 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: () - | Shannon Doris Keasler, LPC 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: (573) 686-1200 |
Ms. Lydia Alpha Mabbitt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Ms. Christina J Cunningham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Kristi Lynn Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Jeffrey E Killian, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 Herschel Bess Blvd, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Mr. Larry Todd Allen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901 Phone: 573-785-0333 Fax: 573-785-0333 | |
Sarah Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1328 Fax: 573-686-1029 | |
Miss Robin Denise Vickery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 |