| Tessa Rene Gore, LPCC-S | |
|
2727 S 3rd St, Ironton, OH 45638-2760 | |
| (740) 534-2100 | |
| Not Available |
| Full Name | Tessa Rene Gore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2727 S 3rd St, Ironton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073002309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2404517-SUPV (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | C.1400563 (Ohio) | Secondary |
| Entity Name | Community Action Committee Of Pike County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578974929 PECOS PAC ID: 3173432762 Enrollment ID: O20141022000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa Rene Gore, LPCC-S 2727 S 3rd St, Ironton, OH 45638-2760 Ph: (740) 534-2100 | Tessa Rene Gore, LPCC-S 2727 S 3rd St, Ironton, OH 45638-2760 Ph: (740) 534-2100 |
Andrew T Finley, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Spruce St, Ironton, OH 45638 Phone: 740-533-9850 | |
Joseph S Morris, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 4th St, Ironton, OH 45638 Phone: 740-532-3767 Fax: 740-532-3385 | |
Chase Lewis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143 | |
Tierra Troxler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Mastin Ave, Ironton, OH 45638 Phone: 740-307-6407 | |
Audra Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 | |
Richard Riggall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Center St Frnt B, Ironton, OH 45638 Phone: 740-479-5135 | |
Kristian Hutchinson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143 |