Charles Martin Justice, MA | |
20 W 18th St, Covington, KY 41011-3329 | |
(859) 757-0717 | |
(859) 331-2425 |
Full Name | Charles Martin Justice |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 20 W 18th St, Covington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801051446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 262536 (Kentucky) | Primary |
101YM0800X | Counselor - Mental Health | 39002025A (Indiana) | Secondary |
Entity Name | Community Mental Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588732747 PECOS PAC ID: 1456330166 Enrollment ID: O20040722000158 |
Entity Name | Kentucky Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20221013002479 |
Mailing Address | Practice Location Address |
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Charles Martin Justice, MA Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-0717 | Charles Martin Justice, MA 20 W 18th St, Covington, KY 41011-3329 Ph: (859) 757-0717 |
Brian Timothy Kinne, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3629 Church St, Covington, KY 41015 Phone: 859-581-8974 | |
Laura Westrich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-578-3200 | |
Sandra Mae George, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 Scott St, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-578-2864 | |
Lauren Lynch, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Main St, Covington, KY 41011 Phone: 859-363-6131 | |
Samantha A Higgins, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-578-2864 | |
Angela Mayer, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1715 Madison Ave, Covington, KY 41011 Phone: 859-279-3289 Fax: 859-279-3711 | |
Ms. Laurie Barbra Eilenberg, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 E 3rd St, Covington, KY 41011 Phone: 859-291-3068 |