| Mr John Patrick O'neal, LCPC | |
|
7173 Nugget Creek, Idaho Falls, ID 83406-8282 | |
| (208) 209-2329 | |
| Not Available |
| Full Name | Mr John Patrick O'neal |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 7173 Nugget Creek, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710318480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-7346 (Idaho) | Primary |
| Entity Name | Willow Sage Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538611652 PECOS PAC ID: 8527341007 Enrollment ID: O20170207001660 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Patrick O'neal, LCPC 7173 Nugget Creek, Idaho Falls, ID 83406-8282 Ph: (208) 209-2329 | Mr John Patrick O'neal, LCPC 7173 Nugget Creek, Idaho Falls, ID 83406-8282 Ph: (208) 209-2329 |
Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352 | |
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630 | |
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447 | |
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027 | |
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934 | |
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712 | |
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 |