| Katherine Marie Cooper, | |
|
800 12th Ave Ne Apt 140, Jamestown, ND 58401-6540 | |
| (567) 337-9937 | |
| Not Available |
| Full Name | Katherine Marie Cooper |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 800 12th Ave Ne Apt 140, Jamestown, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053177808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10408 (Idaho) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | Deer Oaks Mental Health Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130108000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Marie Cooper, 211 4th St Ne Ste 8, Devils Lake, ND 58301-2479 Ph: () - | Katherine Marie Cooper, 800 12th Ave Ne Apt 140, Jamestown, ND 58401-6540 Ph: (567) 337-9937 |
Ashley Zabka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Ms. Denise Ranae Geringer, LCSW, LAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-251-6000 Fax: 701-323-5709 | |
Angela M Lehr, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Ms. Lindsey Aberle Hallsten, LAC LICENSED ADDICTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401 Phone: 701-952-1250 Fax: 701-952-1252 | |
Victoria M Gore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Ms. Pamela Sagness, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401 Phone: 701-952-1250 Fax: 701-952-1252 |