| Ms Desiree Dianne Malam, | |
|
304 W Washington Ave, Richland, MO 65556-7101 | |
| (877) 406-2662 | |
| Not Available |
| Full Name | Ms Desiree Dianne Malam |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 304 W Washington Ave, Richland, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760723134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2013006416 (Missouri) | Primary |
| Entity Name | Richland Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Desiree Dianne Malam, Po Box 777, Richland, MO 65556-0777 Ph: (877) 406-2662 | Ms Desiree Dianne Malam, 304 W Washington Ave, Richland, MO 65556-7101 Ph: (877) 406-2662 |
Becki Ruggles, LPC, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 27995 Rochester Rd, Richland, MO 65556 Phone: 573-855-6857 Fax: 573-765-4350 | |
Ruth Ann Weber, LPC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Camden St, Richland, MO 65555 Phone: 573-330-5822 | |
Barbara Ann Proctor, M.A., QMHP, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 Mcclurg Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Elizabeth Bernadette Melendez-bonnot, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 877-406-2662 | |
Lynnette Kay Hall, LPC Counselor Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Danielle Nicole Lux, M.ED Counselor Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-690-4511 |