| Dede Carson, MAADCII | |
|
1401 S Elliott Ave, Aurora, MO 65605-2103 | |
| (417) 671-9856 | |
| Not Available |
| Full Name | Dede Carson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1401 S Elliott Ave, Aurora, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982245825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9512 (Missouri) | Primary |
| Entity Name | Center For Life Coaching And Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154515153 PECOS PAC ID: 1052577525 Enrollment ID: O20120727000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dede Carson, MAADCII 1305 Brookside Ln, Aurora, MO 65605-8158 Ph: (417) 569-2143 | Dede Carson, MAADCII 1401 S Elliott Ave, Aurora, MO 65605-2103 Ph: (417) 671-9856 |
Mr. Darren Gene Cook, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 Phone: 417-678-6233 | |
Mr. John Watson Tiner, P.L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 W Church St, Aurora, MO 65605 Phone: 417-678-5532 Fax: 417-678-6242 | |
Mr. James Donald Myhre, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 W Church St, Aurora, MO 65605 Phone: 417-678-5532 Fax: 417-678-6242 | |
Mr. Ken W Kuschel, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 S Madison Ave, Aurora, MO 65605 Phone: 417-678-6233 Fax: 417-847-1765 | |
Cynthia Amy Abbott, M.S. Counselor Medicare: Medicare Enrolled Practice Location: 1401 S Elliott Ave, Aurora, MO 65605 Phone: 417-671-9856 Fax: 417-671-9881 | |
Staci Ackerman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 S Elliott Ave, Aurora, MO 65605 Phone: 417-671-9856 | |
Mr. Richard Alan Freitas, MS, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 S Elliott Ave, Aurora, MO 65605 Phone: 417-671-9856 |