Leslie Mashak, LPC | |
1401 W 2nd St, Suite 1, Gillette, WY 82716-3333 | |
(307) 682-6699 | |
(307) 682-6698 |
Full Name | Leslie Mashak |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1401 W 2nd St, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457619439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Campbell County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Mailing Address | Practice Location Address |
---|---|
Leslie Mashak, LPC 1401 W 2nd St, Suite 1, Gillette, WY 82716-3333 Ph: (307) 682-6699 | Leslie Mashak, LPC 1401 W 2nd St, Suite 1, Gillette, WY 82716-3333 Ph: (307) 682-6699 |
Jean-raphael De Raoulx, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-2034 | |
Ms. Judeth Petersen, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-5000 Fax: 307-688-5015 | |
Jane R King, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 S Kendrick Ave, Gillette, WY 82716 Phone: 307-688-8700 | |
Tara Reed, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 West 4-j Rd., Gillette, WY 82718 Phone: 307-682-5433 | |
Rebecca N Terry, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-3024 | |
Ms. Sarah Leger-hayworth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Lakeway Rd Ste 311, Gillette, WY 82718 Phone: 307-363-5930 | |
Ms. Amanda Forister, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Running W Dr, Gillette, WY 82718 Phone: 307-257-2331 Fax: 307-670-8042 |