Christina Russell, BS, MA STUDENT | |
1000 N Broadway Ste A, Peru, IN 46970 | |
() - | |
Not Available |
Full Name | Christina Russell |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1000 N Broadway Ste A, Peru, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750921938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Four County Comprehensive Mental Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
Mailing Address | Practice Location Address |
---|---|
Christina Russell, BS, MA STUDENT 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 | Christina Russell, BS, MA STUDENT 1000 N Broadway Ste A, Peru, IN 46970 Ph: () - |
Lancia K Lee, BGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 E Main St, Peru, IN 46970 Phone: 765-472-1931 Fax: 765-472-1945 | |
Robert N Becker, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 E Main St, Peru, IN 46970 Phone: 765-472-1931 Fax: 765-472-1945 | |
Ashley Saylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2424 W Pebble Dr, Peru, IN 46970 Phone: 765-460-8853 | |
Maren Blevins, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 N Broadway, Peru, IN 46970 Phone: 574-722-5151 Fax: 574-739-1414 | |
Mrs. Susan Kay Wolf, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 E Main St, Peru, IN 46970 Phone: 765-472-1931 Fax: 765-472-1945 | |
Lisa Kay Sheridan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 E Main St, Peru, IN 46970 Phone: 765-472-1931 Fax: 765-472-1945 | |
Margaret Farley Farley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1942 George Ave, Peru, IN 46970 Phone: 219-879-9999 Fax: 219-879-9999 |