| Tara A Furgason, LCPC | |
|
4600 3rd St, Moline, IL 61265-6106 | |
| (309) 779-3021 | |
| (309) 779-2027 |
| Full Name | Tara A Furgason |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4600 3rd St, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609105899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007357 (Illinois) | Primary |
| Entity Name | The Robert Young Center For Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730685389 PECOS PAC ID: 4587600150 Enrollment ID: O20211208003044 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara A Furgason, LCPC 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-3021 | Tara A Furgason, LCPC 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-3021 |
Charea Houston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 6th Ave, Moline, IL 61265 Phone: 309-749-8380 | |
Clinton Troy Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 708-305-4041 | |
Annulka Lynn Kagee-willard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-3000 | |
Jessica Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 River Dr Ste 110, Moline, IL 61265 Phone: 309-762-5433 | |
Rebecca Moreno, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3919 16th St, Moline, IL 61265 Phone: 309-797-6983 | |
Stephen Mark Draminski, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-854-2090 | |
Hassan Baig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2245 |