Brenda Wilson-graham, MAMFT | |
3700 W Kilgore Ave, Muncie, IN 47304-4810 | |
(765) 289-5437 | |
Not Available |
Full Name | Brenda Wilson-graham |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3700 W Kilgore Ave, Muncie, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629421672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 0000000A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Brenda Wilson-graham, MAMFT 5109 W Westknoll Ct, Muncie, IN 47304-5039 Ph: (765) 228-8970 | Brenda Wilson-graham, MAMFT 3700 W Kilgore Ave, Muncie, IN 47304-4810 Ph: (765) 289-5437 |
Nicholas Alexander Lee, PHD, HSPP Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 333 S Madison St, Muncie, IN 47305 Phone: 765-286-7000 Fax: 765-213-2769 | |
Mrs. Demetria Michelle Jackson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 708 W White River Blvd, Muncie, IN 47303 Phone: 765-288-1110 | |
Johanna Voss, MA, LMHC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 W Royale Dr, Muncie, IN 47304 Phone: 765-284-0043 Fax: 765-284-0043 | |
Dafni Eileen Fink, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4221 N Broadway Ave, Muncie, IN 47303 Phone: 765-282-7150 |