Kelly Ann Kugel, LPC | |
704 Historic Rt 66 Suite 201, Waynesville, MO 65583 | |
(573) 774-3121 | |
Not Available |
Full Name | Kelly Ann Kugel |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 704 Historic Rt 66 Suite 201, Waynesville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518005446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 18706 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 2012003369 (Missouri) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
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Kelly Ann Kugel, LPC 704 Historic Rt 66 Suite 201, Waynesville, MO 65583 Ph: (573) 774-3121 | Kelly Ann Kugel, LPC 704 Historic Rt 66 Suite 201, Waynesville, MO 65583 Ph: (573) 774-3121 |
Jennifer Kridelbaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 | |
Mrs. Markitta Andrea Mitchell, MASTER OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 574-774-5353 | |
Mrs. Debra J Niles Bobinger, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 Fax: 573-774-2907 | |
Mr. Sean Avery Wilson, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Route 66 W, Waynesville, MO 65583 Phone: 573-774-4198 | |
Shannon L Martin, LPC LIC # 2018028478 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 Fax: 573-774-2907 | |
Tonya Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Historic 66 W, Waynesville, MO 65583 Phone: 573-774-4198 Fax: 573-774-4951 | |
Mrs. Michelle Dawn Adams, NCC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Historic 66 W, Waynesville, MO 65583 Phone: 573-774-4198 |