Jessica Korman, | |
910 E Washington St Ste 4, Winchester, IN 47394-9280 | |
(812) 558-0574 | |
Not Available |
Full Name | Jessica Korman |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 910 E Washington St Ste 4, Winchester, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154996668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 99104370A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Jessica Korman, 3 Burlington Woods Dr Ste 301, Burlington, MA 01803-4514 Ph: () - | Jessica Korman, 910 E Washington St Ste 4, Winchester, IN 47394-9280 Ph: (812) 558-0574 |
Kellee J Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 W Washington St, Winchester, IN 47394 Phone: 765-584-7820 | |
Deborah Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 W 500 N, Winchester, IN 47394 Phone: 765-546-7929 | |
Betty Jane Hancock, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 325 S Oak St Ste 103, Winchester, IN 47394 Phone: 765-584-1735 | |
Michelle (shelly) E Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 S 225 E, Winchester, IN 47394 Phone: 937-417-4950 | |
Richard Monfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 S 225 E, Winchester, IN 47394 Phone: 765-584-1024 |