Kathleen E Estabrook, PCC-S,LSW,LICDC is a
Counselor - Professional based in Xenia, Ohio. Kathleen E Estabrook is licensed to practice in Ohio (license number E-3754-SUPV) and her current practice location is
515 Martin Dr, Xenia, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 352-2908.
NPI number for Kathleen E Estabrook is 1427164227 and her current mailing address is 515 Martin Dr, Xenia, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427164227.
Healthcare Provider's Profile
| Full Name | Kathleen E Estabrook |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 515 Martin Dr, Xenia, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427164227
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 02/15/2012
Medical Identifiers
Medical identifiers for Kathleen E Estabrook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427164227 | NPI | - | NPPES |
| 11823305 | Other | | CAQH # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | S-13433 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E-3754-SUPV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen E Estabrook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen E Estabrook, PCC-S,LSW,LICDC
515 Martin Dr,
Xenia, OH 45385-1615
Ph: (937) 352-2908 | Kathleen E Estabrook, PCC-S,LSW,LICDC
515 Martin Dr,
Xenia, OH 45385-1615
Ph: (937) 352-2908 |
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