| Tera Dacus, MHP | |
|
1505 S. Oswego Ave, Russellville, AR 72802 | |
| (479) 967-3370 | |
| (479) 967-2775 |
| Full Name | Tera Dacus |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1505 S. Oswego Ave, Russellville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891080909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Arkansas) | Primary |
| 104100000X | Social Worker | 6675-M (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tera Dacus, MHP Po Box 679, Morrilton, AR 72110-0679 Ph: (501) 354-4589 | Tera Dacus, MHP 1505 S. Oswego Ave, Russellville, AR 72802 Ph: (479) 967-3370 |
Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Raven Cruz-humberto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 E Parkway Dr, Russellville, AR 72801 Phone: 866-921-0149 Fax: 479-777-4400 | |
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Mary Caitlyn Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Boston Pl, Russellville, AR 72801 Phone: 479-219-4100 | |
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Medicare Enrolled Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011 | |
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 | |
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 |