| Jason Rickard, LPCC | |
|
503 Cleveland Ave, Glasgow, KY 42141-1907 | |
| (270) 537-4778 | |
| Not Available |
| Full Name | Jason Rickard |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 503 Cleveland Ave, Glasgow, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275236127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 103013 (Kentucky) | Primary |
| Entity Name | Alliance Counseling Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285938209 PECOS PAC ID: 9436443736 Enrollment ID: O20160809003226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Rickard, LPCC 503 Cleveland Ave, Glasgow, KY 42141-1907 Ph: (270) 537-4778 | Jason Rickard, LPCC 503 Cleveland Ave, Glasgow, KY 42141-1907 Ph: (270) 537-4778 |
Derrick Wagoner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Amy Brickler, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Liisa Lucas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 | |
April Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 Fax: 270-842-5268 | |
Rachael Keeling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-904-6567 | |
Ms. Jolene Rene Poteet, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 106 W Front St, Glasgow, KY 42141 Phone: 270-904-5104 | |
Ellen Cox, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Columbia Ave, Glasgow, KY 42141 Phone: 270-651-7070 Fax: 270-651-7071 |