| Ms Theresa Lynn Graber-gimmeson, LPC | |
|
304 N State St, Grangeville, ID 83530-1769 | |
| (208) 983-0235 | |
| (208) 983-0245 |
| Full Name | Ms Theresa Lynn Graber-gimmeson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 304 N State St, Grangeville, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740615772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-5107 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camas Professional Counseling | 3476579160 | 3 |
| 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 304 N State St, Grangeville, ID 83530-1769 Ph: (208) 983-0235 |
Tammy L Everson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Theresa Huston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 S College St Apt 4, Grangeville, ID 83530 Phone: 208-983-0235 | |
Miss Fallon Cole Horrocks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 | |
Rozalynne M Banta, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N College St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Kirsten Elise Costa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Grangeville, ID 83530 Phone: 208-500-2066 |