Ms Jessica Elaine Wilson, MA | |
2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | |
(256) 582-4240 | |
(256) 582-4161 |
Full Name | Ms Jessica Elaine Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2409 Homer Clayton Drive, Guntersville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699131649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Thrive Trauma, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073050290 PECOS PAC ID: 7416391818 Enrollment ID: O20240213004016 |
Mailing Address | Practice Location Address |
---|---|
Ms Jessica Elaine Wilson, MA 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 Ph: (256) 582-4240 | Ms Jessica Elaine Wilson, MA 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 Ph: (256) 582-4240 |
Carol Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-4240 Fax: 256-582-4161 | |
Mrs. Jaime Dee Hayduk, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Drive, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Jan Lasseter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1612 Railroad Avenue, Guntersville, AL 35976 Phone: 256-582-8880 Fax: 256-582-8890 | |
Joyce H Flannery, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Selah Rhoden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Mr. Christopher H Goodgame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Drive, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Elizabeth Renee Craig, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 |