Dr Thomas Richard Kupec, PSYD, LPCC | |
132 S Broad St Ste 203, Canfield, OH 44406-1437 | |
(330) 533-5450 | |
Not Available |
Full Name | Dr Thomas Richard Kupec |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 132 S Broad St Ste 203, Canfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457320889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | E-0003444 (Ohio) | Primary |
Entity Name | Creekside Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518192608 PECOS PAC ID: 7113364597 Enrollment ID: O20240320003889 |
Mailing Address | Practice Location Address |
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Dr Thomas Richard Kupec, PSYD, LPCC 512 N Briarcliff Dr, Canfield, OH 44406-1010 Ph: (330) 533-4272 | Dr Thomas Richard Kupec, PSYD, LPCC 132 S Broad St Ste 203, Canfield, OH 44406-1437 Ph: (330) 533-5450 |
Sean Carlos Harding, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Stutz Dr, Canfield, OH 44406 Phone: 330-967-4111 Fax: 330-967-4255 | |
Ronald Haines Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3620 Stutz Dr, Canfield, OH 44406 Phone: 234-313-4795 | |
Kurt W. Beler, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 S Raccoon Rd, Canfield, OH 44406 Phone: 330-533-6281 Fax: 330-533-6459 | |
Diana Wolf, P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 3768 Boardman Canfield Rd Ste 5, Canfield, OH 44406 Phone: 330-798-0491 Fax: 330-303-4948 | |
Katherine Feather, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406 Phone: 330-286-0050 | |
Anne Lally, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Broad St, Canfield, OH 44406 Phone: 330-533-5450 | |
Nichole R George Cannon, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Stutz Dr Ste A, Canfield, OH 44406 Phone: 330-967-4111 |