Kristen Dahl, LPCA | |
250 Grandview Dr Ste 575, Fort Mitchell, KY 41017-5667 | |
(216) 831-6611 | |
Not Available |
Full Name | Kristen Dahl |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 250 Grandview Dr Ste 575, Fort Mitchell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063143766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 279002 (Kentucky) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081 |
Mailing Address | Practice Location Address |
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Kristen Dahl, LPCA 1248 Cannonball Way, Independence, KY 41051-6902 Ph: () - | Kristen Dahl, LPCA 250 Grandview Dr Ste 575, Fort Mitchell, KY 41017-5667 Ph: (216) 831-6611 |
Taylor Renae Hughes, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Fort Mitchell, KY 41017 Phone: 859-331-0880 Fax: 859-331-6177 | |
Ms. Ellen M Yass-reed, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2128 Chamber Center Dr, Fort Mitchell, KY 41017 Phone: 859-331-6525 Fax: 859-331-6526 | |
Faith Reuscher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Grandview Dr Ste 575, Fort Mitchell, KY 41017 Phone: 317-292-7108 |