| Sandra Jo Mathis, | |
|
610 W 23rd St Ste 5, Yankton, SD 57078-1209 | |
| (605) 204-6646 | |
| Not Available |
| Full Name | Sandra Jo Mathis |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 610 W 23rd St Ste 5, Yankton, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053183418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Rising Hope Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780190967 PECOS PAC ID: 3274958640 Enrollment ID: O20200731001828 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Jo Mathis, 610 W 23rd St Ste 5, Yankton, SD 57078-1209 Ph: (605) 204-6646 | Sandra Jo Mathis, 610 W 23rd St Ste 5, Yankton, SD 57078-1209 Ph: (605) 204-6646 |
Allison Rouillard, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Molly Huber, BS Counselor Medicare: Medicare Enrolled Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Ashley Olivier, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Shawn Coles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Wesley Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Jessica Mullins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Justin Lee Boulware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 |