| Mr Scott Martin Erickson, MCOUN,LPC 1010 | |
|
711 Onyx St, Office Of The Director Of Quality And Compliance, Kemmerer, WY 83101-3214 | |
| (307) 877-4496 | |
| (307) 877-9769 |
| Full Name | Mr Scott Martin Erickson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 711 Onyx St, Kemmerer, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073760534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | M.COUN.,L.P.C. 1010 (Wyoming) | Primary |
| Entity Name | High Country Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Martin Erickson, MCOUN,LPC 1010 405 Beech Ave, Kemmerer, WY 83101-3325 Ph: (307) 708-2967 | Mr Scott Martin Erickson, MCOUN,LPC 1010 711 Onyx St, Office Of The Director Of Quality And Compliance, Kemmerer, WY 83101-3214 Ph: (307) 877-4496 |
Jennifer Rosa Benson, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 | |
Miss Dinah James, Counselor Medicare: Accepting Medicare Assignments Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-877-9832 | |
Diana Jean Stone, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 |