Jonathon Stackhouse, | |
1525 N 7 Hwy Ste 201, Pleasant Hill, MO 64080-1980 | |
(816) 308-0246 | |
(816) 566-0486 |
Full Name | Jonathon Stackhouse |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1525 N 7 Hwy Ste 201, Pleasant Hill, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710692819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2021002313 (Missouri) | Primary |
Entity Name | Country Crossroads Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952705444 PECOS PAC ID: 1153850961 Enrollment ID: O20250123002390 |
Mailing Address | Practice Location Address |
---|---|
Jonathon Stackhouse, 441 Nw Hwy W, Kingsville, MO 64061 Ph: (816) 308-0246 | Jonathon Stackhouse, 1525 N 7 Hwy Ste 201, Pleasant Hill, MO 64080-1980 Ph: (816) 308-0246 |
Mrs. Suzanne Leemay Seitz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 N 7 Hwy, Pleasant Hill, MO 64080 Phone: 816-308-0246 Fax: 816-566-0486 | |
Stephanie Ann Moskopp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Terry Dr, Pleasant Hill, MO 64080 Phone: 702-321-5997 | |
Rachel Ann Dinges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1525 N Highway 7 Ste 201, Pleasant Hill, MO 64080 Phone: 816-308-0246 Fax: 816-566-0486 | |
Mrs. Avery C Lough, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1525 N Highway 7 Ste 201, Pleasant Hill, MO 64080 Phone: 816-308-0246 |