| Leida A Woodham, LPC | |
|
Po Box 12, Oswego, IL 60543-0012 | |
| (815) 556-2579 | |
| (630) 593-7579 |
| Full Name | Leida A Woodham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | Po Box 12, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437693736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180011436 (Illinois) | Primary |
| Entity Name | Affective Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811400187 PECOS PAC ID: 5991158347 Enrollment ID: O20240201001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Leida A Woodham, LPC Po Box 12, Oswego, IL 60543-0012 Ph: (815) 556-2579 | Leida A Woodham, LPC Po Box 12, Oswego, IL 60543-0012 Ph: (815) 556-2579 |
Lisa Junger, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 Templeton Dr Ste 103, Oswego, IL 60543 Phone: 630-844-2662 Fax: 630-844-3084 | |
Ana Drake, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 34, Oswego, IL 60543 Phone: 815-201-0731 | |
Matthew Graden, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 E Merchants Dr, Suite 300, Oswego, IL 60543 Phone: 888-428-7890 Fax: 877-428-7891 | |
Hank Exline, Counselor Medicare: Accepting Medicare Assignments Practice Location: 84 Templeton Dr, Oswego, IL 60543 Phone: 630-844-2662 Fax: 630-844-3084 | |
Ms. Louise Clair Sheldon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Chicago Rd, Oswego, IL 60543 Phone: 630-913-7045 | |
Danielle Faith Zimmerman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Main St Ste 2b, Oswego, IL 60543 Phone: 815-556-9144 | |
Margaret Carstensen, LCPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Main St Ste 203, Oswego, IL 60543 Phone: 630-733-9108 |