Susan Davies, | |
1809 E Sherman Ave, Coeur D Alene, ID 83814-5873 | |
(208) 620-5222 | |
(844) 807-3782 |
Full Name | Susan Davies |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1809 E Sherman Ave, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699143164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Dirne Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041 |
Mailing Address | Practice Location Address |
---|---|
Susan Davies, 1905 E Nettleton Gulch Rd, Coeur D Alene, ID 83815-6234 Ph: (208) 572-0834 | Susan Davies, 1809 E Sherman Ave, Coeur D Alene, ID 83814-5873 Ph: (208) 620-5222 |
Joshua Michael Raybell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 N Ironwood Pkwy Ste 222, Coeur D Alene, ID 83814 Phone: 208-964-6510 | |
Dr. Billie Jo Davis, PH.D., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Ironwood Dr., Suite D Pmd 106, Coeur D Alene, ID 83815 Phone: 208-699-2595 | |
Mrs. Jacqueline Lee Butera, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814 Phone: 208-664-9729 Fax: 208-263-7515 | |
Mrs. Danielle Nichole Kisler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Ste A And B, Coeur D Alene, ID 83815 Phone: 208-691-2048 | |
Haley Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 225, Coeur D Alene, ID 83814 Phone: 775-224-4996 | |
Mr. Gregory Raymond Lee, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814 Phone: 208-664-9729 | |
Ms. Jodi Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-667-7557 |