Mrs Kaitlyn R Kortokrax, LPCC | |
408 9th St Sw, Canton, OH 44707-4714 | |
(330) 454-2000 | |
Not Available |
Full Name | Mrs Kaitlyn R Kortokrax |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 408 9th St Sw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447704937 | NPI | - | NPPES |
0267648 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Ohio) | Primary |
Entity Name | Lifecare Family Health And Dental Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kaitlyn R Kortokrax, LPCC 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000 | Mrs Kaitlyn R Kortokrax, LPCC 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 | |
Zakree Buccitelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |