Jaclyn M Gleason, LPCC | |
200 Home Rd, Covington, KY 41011-1942 | |
(859) 261-8768 | |
(859) 291-2431 |
Full Name | Jaclyn M Gleason |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 200 Home Rd, 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 |
---|---|---|---|
1811436165 | NPI | - | NPPES |
7100447160 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 171643 (Kentucky) | Primary |
Entity Name | Childrens Home Of Northern Kentucky |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386979615 PECOS PAC ID: 0143664102 Enrollment ID: O20240216004297 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn M Gleason, LPCC 200 Home Rd, Covington, KY 41011-1942 Ph: (859) 261-8768 | Jaclyn M Gleason, LPCC 200 Home Rd, Covington, KY 41011-1942 Ph: (859) 261-8768 |
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 |