| Ms Amy Jeanne Guderjohn, | |
|
803 Ne 17th Ct, Moore, OK 73160-6543 | |
| (405) 655-1295 | |
| Not Available |
| Full Name | Ms Amy Jeanne Guderjohn |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 803 Ne 17th Ct, Moore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548562689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy Jeanne Guderjohn, 803 Ne 17th Ct, Moore, OK 73160-6543 Ph: (405) 655-1295 | Ms Amy Jeanne Guderjohn, 803 Ne 17th Ct, Moore, OK 73160-6543 Ph: (405) 655-1295 |
Danna Cobble, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Nw 5th St, Moore, OK 73160 Phone: 405-799-3379 |
Mr. Joe Mcelhaney Jr., LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 N Moore Ave Ste 15, Moore, OK 73160 Phone: 405-414-5742 Fax: 844-242-3361 |
Cathy L Hasenbeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Se 1st St, Moore, OK 73160 Phone: 405-831-9739 |
Deborah A Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2119 Riverwalk Dr # 218, Moore, OK 73160 Phone: 405-799-7833 |
Heather Ann Reed, Counselor Medicare: Medicare Enrolled Practice Location: 620 Nw 5th St, Moore, OK 73160 Phone: 405-202-6873 |
Lauren Harlow, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Nw 5th St, Moore, OK 73160 Phone: 405-208-4469 Fax: 903-818-1096 |
Sandra J. Reneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 N Telephone Rd, Moore, OK 73160 Phone: 405-794-5552 Fax: 405-759-2402 |