Charissa A Young (NPI# 1033522412, PAC ID# 3476809781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1033522412 |
| PAC ID by PECOS | 3476809781 |
| Professional Enrollment ID | I20180628001957 |
| Full Name | Charissa A Young |
| Organization Legal Name | FAMILY COUNSELING CENTER INC |
| Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Phone Number | 5736861200 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2163410481 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 5736861200 | FAMILY COUNSELING CENTER INC |
| Organization Legal Name | FAMILY COUNSELING CENTER INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney J Bradford | Nurse Practitioner | Family Counseling Center Inc | 900 State Route Vv, Kennett, MO 63857-3834 |
| Andrea C Jasdanwala | Nurse Practitioner | Family Counseling Center Inc | 500 Hwy J, Hayti, MO 63851-1200 |
| Juanita J Buchanan | Clinical Social Worker | Family Counseling Center Inc | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 |
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Tasha L Wisdom | Clinical Social Worker | Family Counseling Center Inc | 315 E Walnut St, Ellington, MO 63638-7943 |
| Mark R Thelen | Psychologist, Clinical | Family Counseling Center Inc | 102 Marty Dr, Buffalo, MN 55313-9305 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Craig E Tatom | Nurse Practitioner | Family Counseling Center Inc | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Street Address |
3001 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-8685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juanita J Buchanan | Clinical Social Worker | Family Counseling Center Inc | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 |
| Kathleen M Lasar | Nurse Practitioner | Family Counseling Center Inc | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | POPLAR BLUFF + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Charissa A Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.