Shawn Masters, LPC | |
1565 Ste. Genevieve Ave., Farmington, MO 63640 | |
(573) 756-5749 | |
Not Available |
Full Name | Shawn Masters |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1565 Ste. Genevieve Ave., Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710466909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2018027441 (Missouri) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
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Shawn Masters, LPC Po Box 459, Farmington, MO 63640-0459 Ph: () - | Shawn Masters, LPC 1565 Ste. Genevieve Ave., Farmington, MO 63640 Ph: (573) 756-5749 |
Lynn Machelle Knox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 Progress Dr, Farmington, MO 63640 Phone: 573-756-1969 Fax: 573-747-1151 | |
Laura Kirkley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 17885 Hart Pinkston Rd, Farmington, MO 63640 Phone: 573-747-9115 | |
Dena Boyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 N Washington St, Suite 116, Farmington, MO 63640 Phone: 573-218-9653 Fax: 573-803-1405 | |
Stella M Naeger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 N Washington St, Farmington, MO 63640 Phone: 573-756-6101 Fax: 573-756-6420 | |
Michelle Lynn Woods, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-6451 | |
Alana Brooke Sucharski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Hillsboro Rd Apt 65, Farmington, MO 63640 Phone: 573-631-2297 | |
Mrs. Jane Ellen Wagner-garner, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Pine St, Farmington, MO 63640 Phone: 573-701-5902 |