| Jerry Wease, LCAS | |
|
271 Callahan Koon Rd, Spindale, NC 28160-2207 | |
| (828) 288-8773 | |
| (828) 288-9577 |
| Full Name | Jerry Wease |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 271 Callahan Koon Rd, Spindale, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225373665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10607 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2456 (North Carolina) | Secondary |
| Entity Name | Blue Ridge Hope |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104440726 PECOS PAC ID: 8921473190 Enrollment ID: O20230401000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Wease, LCAS 131 W 2nd St, Rutherfordton, NC 28139-2448 Ph: (828) 202-3075 | Jerry Wease, LCAS 271 Callahan Koon Rd, Spindale, NC 28160-2207 Ph: (828) 288-8773 |
Anthony Steven Hamrick, M.ED.,LPC,LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Main St, Spindale, NC 28160 Phone: 828-286-0501 | |
Mary Amy Lynn Cooper, LCAS, LCMHCA, CSI Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 E Main St, Spindale, NC 28160 Phone: 980-389-4291 | |
Mr. Bobby Ray Fisher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Oak St Ste C, Spindale, NC 28160 Phone: 704-466-0162 Fax: 828-286-9512 | |
Logan Melton, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 S Oak St, Suite C, Spindale, NC 28160 Phone: 704-466-0162 | |
Danicia Marin Cabrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 E Main St, Spindale, NC 28160 Phone: 704-466-0162 Fax: 828-286-9512 | |
Cristy Houk Saunders, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Oak St Ste C, Spindale, NC 28160 Phone: 704-466-0162 |