| Gwen Vana, QMHP | |
|
323 W Mulberry St, Watseka, IL 60970-1568 | |
| (815) 432-5241 | |
| (815) 432-4537 |
| Full Name | Gwen Vana |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 323 W Mulberry St, Watseka, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669720991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmh Behavioral Services Pc | 2264737618 | 2 |
| Entity Name | Tmh Behavioral Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164997284 PECOS PAC ID: 2264737618 Enrollment ID: O20160223000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Vana, QMHP 323 W Mulberry St, Po Box 322, Watseka, IL 60970-1568 Ph: () - | Gwen Vana, QMHP 323 W Mulberry St, Watseka, IL 60970-1568 Ph: (815) 432-5241 |
Illona Nykaza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Allison Lindstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Arika Stanley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Rebecca Eimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Mrs. Shannon Jo Francis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Heather Fletcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-5241 | |
Hampton Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 |