| Amanda Jerger, LPCC-S | |
|
1018 Ralston Ave, Defiance, OH 43512-5312 | |
| (419) 567-2138 | |
| (419) 225-8878 |
| Full Name | Amanda Jerger |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1018 Ralston Ave, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801377122 | NPI | - | NPPES |
| 0312677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2404056-SUPV (Ohio) | Primary |
| Entity Name | Shalom Ministries |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366573552 PECOS PAC ID: 7911376033 Enrollment ID: O20221213001281 |
| Entity Name | Joy D Fruchey and Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710625306 PECOS PAC ID: 6800254541 Enrollment ID: O20230628000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jerger, LPCC-S 329 N West St, Lima, OH 45801-4332 Ph: (419) 221-3072 | Amanda Jerger, LPCC-S 1018 Ralston Ave, Defiance, OH 43512-5312 Ph: (419) 567-2138 |
Kymberly Whitenburg, Counselor Medicare: Accepting Medicare Assignments Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-785-3800 |
Amy L Slattery, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 Fax: 419-784-4506 |
Alycia Bany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 |
Linda K Schlachter Mcdonald, SWA, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 |
Mattea Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 |
Elizabeth A Herbert, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 |
Megan Relyea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-2261 |