Richard Harold Degraw, | |
60 W Main St, Rexburg, ID 83440-1825 | |
(208) 359-3300 | |
(208) 359-3345 |
Full Name | Richard Harold Degraw |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 60 W Main St, Rexburg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275014045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-6097 (Idaho) | Primary |
Entity Name | Centerpoint Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134458102 PECOS PAC ID: 1456754373 Enrollment ID: O20210729000324 |
Mailing Address | Practice Location Address |
---|---|
Richard Harold Degraw, 60 W Main St, Rexburg, ID 83440-1825 Ph: (208) 359-3300 | Richard Harold Degraw, 60 W Main St, Rexburg, ID 83440-1825 Ph: (208) 359-3300 |
Creed Simon Webster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 S 2nd W, Rexburg, ID 83440 Phone: 208-709-7248 Fax: 208-496-5127 | |
Mr. Travis Paul Schwab, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr Ste 3, Rexburg, ID 83440 Phone: 208-359-9683 | |
Erika Nordfelt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 343 E 4th N Ste 200, Rexburg, ID 83440 Phone: 208-261-2131 | |
Mrs. Lori Annette Foster Miller, MCOUN., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz Ste 220, Rexburg, ID 83440 Phone: 208-821-3554 | |
Kansas Kauer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 W. Broadway St., Rexburg, ID 83440 Phone: 208-524-7400 | |
Mrs. Kirsten Lee Griggs, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N 2nd E Ste 114, Rexburg, ID 83440 Phone: 208-359-0581 Fax: 208-359-1125 | |
Beth Winegar, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr Ste 3, Rexburg, ID 83440 Phone: 208-359-9683 Fax: 208-359-9683 |