| Ms Theresa Lynn Graber-gimmeson, LPC | |
|
155 Main Street, Orofino, ID 83544 | |
| (208) 476-4440 | |
| (208) 476-4441 |
| Full Name | Ms Theresa Lynn Graber-gimmeson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 155 Main Street, Orofino, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740615772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-5107 (Idaho) | Primary |
| Entity Name | Camas Professional Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033326301 PECOS PAC ID: 3476579160 Enrollment ID: O20071204000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa Lynn Graber-gimmeson, LPC 175 Highland Ct, Orofino, ID 83544-9635 Ph: (208) 791-6871 | Ms Theresa Lynn Graber-gimmeson, LPC 155 Main Street, Orofino, ID 83544 Ph: (208) 476-4440 |
Jacqueline Gingerich, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 107th St, Orofino, ID 83544 Phone: 208-476-7483 Fax: 208-476-3144 | |
Mrs. Joanne Evelyn Deyo, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1275 Riverside Ave, Orofino, ID 83544 Phone: 208-476-7483 | |
Mrs. Linda J Lucas, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Michigan Avenue, Orofino, ID 83544 Phone: 208-476-4440 | |
Mr. Jason Kessinger, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 107th St, Orofino, ID 83544 Phone: 208-476-7483 Fax: 208-476-3144 | |
Lynda Lee Brazeau, CERTIFIED CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1611, Orofino, ID 83544 Phone: 208-476-4440 Fax: 208-476-4441 | |
Michael Keith Richardson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12271 Hartford Ave, Orofino, ID 83544 Phone: 208-471-8079 Fax: 877-775-0174 |