Shauntae Renee Walker, LPCC | |
500 W Main St, Geneva, OH 44041-1213 | |
(440) 998-4210 | |
(440) 998-6489 |
Full Name | Shauntae Renee Walker |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 500 W Main St, Geneva, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740810779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2303864 (Ohio) | Primary |
Entity Name | Community Counseling Center Of Ashtabula County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720029622 PECOS PAC ID: 7113830118 Enrollment ID: O20031106000414 |
Mailing Address | Practice Location Address |
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Shauntae Renee Walker, LPCC 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-4210 | Shauntae Renee Walker, LPCC 500 W Main St, Geneva, OH 44041-1213 Ph: (440) 998-4210 |
Mr. Ronald James Konkoly, PCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 388 S Broadway, Sunrise Counseling Services, Geneva, OH 44041 Phone: 440-466-0320 Fax: 440-466-0319 | |
Mr. David L Hughes, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1007 South Broadway, Geneva, OH 44041 Phone: 724-396-1510 Fax: 724-972-4627 | |
Ms. Cassie Amanda Eaton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Greenridge Dr, Geneva, OH 44041 Phone: 440-941-5722 Fax: 440-579-0135 | |
Ms. Emily Long Suter, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29 W Main St, Geneva, OH 44041 Phone: 440-466-0320 Fax: 440-466-0319 |