Jessica Mathieu, | |
1350 Us Highway 62 W, Princeton, KY 42445-6106 | |
(270) 365-2008 | |
Not Available |
Full Name | Jessica Mathieu |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1350 Us Highway 62 W, Princeton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629737101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 294045 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 294045 (Kentucky) | Primary |
Entity Name | Lifeskills, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330 |
Mailing Address | Practice Location Address |
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Jessica Mathieu, Po Box 614, Hopkinsville, KY 42241-0614 Ph: () - | Jessica Mathieu, 1350 Us Highway 62 W, Princeton, KY 42445-6106 Ph: (270) 365-2008 |
Mr. Arvel Jeffrey Harris, LPCC-S, LCADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 State Route 128, Princeton, KY 42445 Phone: 270-681-5420 | |
Tracy L. Hadlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 | |
Rebecca Sue Porter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 | |
Mrs. Amanda Grace Ortt, M.ED., LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Washington St, Princeton, KY 42445 Phone: 270-601-6725 | |
Kenneth Clay Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 | |
Brittani Nicole Weatherspoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 |