Kimberlee J Vich, MA,LPCC | |
500 Luray Dr, Wintersville, OH 43953-3972 | |
(740) 264-1439 | |
Not Available |
Full Name | Kimberlee J Vich |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 500 Luray Dr, Wintersville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689855942 | NPI | - | NPPES |
MC24-01 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E0500037 (Ohio) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Kimberlee J Vich, MA,LPCC 3200 Johnson Rd, Steubenville, OH 43952-2363 Ph: (740) 264-7751 | Kimberlee J Vich, MA,LPCC 500 Luray Dr, Wintersville, OH 43953-3972 Ph: (740) 264-1439 |
Evan Pergrim, COUNSELOR TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 Main St, Wintersville, OH 43953 Phone: 724-396-1510 Fax: 724-972-4627 | |
Robert R Zinn, M.A.,L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 500 Luray Dr, Wintersville, OH 43953 Phone: 740-264-1439 | |
Mr. Matthew Escano, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 Main St, Wintersville, OH 43953 Phone: 724-396-1510 Fax: 724-972-4627 | |
Chrisana Husk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 Main St, Wintersville, OH 43953 Phone: 740-214-0440 Fax: 724-972-4627 | |
James Michael Conrad, Counselor Medicare: Medicare Enrolled Practice Location: 734 Main St, Wintersville, OH 43953 Phone: 740-214-0440 Fax: 724-972-4627 | |
Catherine Elizabeth Kucala, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 East Church Street, Wintersville, OH 43953 Phone: 330-787-5825 | |
Dr. Christin M. Jungers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 454 E Church St, Apt. 105, Wintersville, OH 43953 Phone: 740-973-9298 |