| Ms Zoe Bianca Dale, MA, LPC | |
|
306 West 5th Avenue, Nome, AK 99762 | |
| (907) 443-3494 | |
| (907) 443-5915 |
| Full Name | Ms Zoe Bianca Dale |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 306 West 5th Avenue, Nome, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144669920 | NPI | - | NPPES |
| MH0212 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005410 (Georgia) | Primary |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Zoe Bianca Dale, MA, LPC Po Box 1197, Nome, AK 99762-1197 Ph: (404) 333-2399 | Ms Zoe Bianca Dale, MA, LPC 306 West 5th Avenue, Nome, AK 99762 Ph: (907) 443-3494 |
Mrs. Jennifer L Morton, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 505 E 6th Ave, Nome, AK 99762 Phone: 907-843-0933 | |
Carolina Miller, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Greg Kruschek, Nome, AK 99762 Phone: 907-443-3344 | |
Kara Ta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division St, Nome, AK 99762 Phone: 907-443-3344 | |
Aura Chasteen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 Division Street, Nome, AK 99762 Phone: 907-443-3344 | |
Kirsten Hagen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division St, Nome, AK 99762 Phone: 907-443-3344 | |
Mr. Jerry Kowchee Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Avenue, Nome, AK 99762 Phone: 907-443-3290 | |
Penny Lynn Schaeffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Division Street, Nome, AK 99762 Phone: 907-443-3344 |