Tessa Rene Gore, LPC | |
178 Private Road 19423, South Point, OH 45680-8831 | |
(740) 263-2626 | |
Not Available |
Full Name | Tessa Rene Gore |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 178 Private Road 19423, South Point, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073002309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C.1400563 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | C.1400563 (Ohio) | Primary |
Entity Name | Community Action Committee Of Pike County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578974929 PECOS PAC ID: 3173432762 Enrollment ID: O20141022000689 |
Mailing Address | Practice Location Address |
---|---|
Tessa Rene Gore, LPC 109 Oakwood Dr, Coal Grove, OH 45638-3077 Ph: (740) 550-1166 | Tessa Rene Gore, LPC 178 Private Road 19423, South Point, OH 45680-8831 Ph: (740) 263-2626 |
William G Hock, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 Township Road 365, South Point, OH 45680 Phone: 740-451-0221 | |
Jessica Nance, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 4th St E, South Point, OH 45680 Phone: 740-354-8004 | |
Zachary Workman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Private Drive 339, South Point, OH 45680 Phone: 740-451-1455 | |
Ramanda Mccane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 4th St E, South Point, OH 45680 Phone: 740-534-2100 | |
Fred Timothy Jones, CDCA, CMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Private Drive 19423, South Point, OH 45680 Phone: 740-263-2626 Fax: 740-894-1132 | |
Christopher E Malolepszy, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 Township Road 365, South Point, OH 45680 Phone: 740-451-0221 |