Kristina Lynn Endicott, LPC | |
160 Court House Ln, Clintwood, VA 24228 | |
(276) 219-3237 | |
Not Available |
Full Name | Kristina Lynn Endicott |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 160 Court House Ln, Clintwood, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588337901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701010360 (Virginia) | Primary |
Entity Name | Propel Counseling Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447866751 PECOS PAC ID: 6709224710 Enrollment ID: O20240409003485 |
Mailing Address | Practice Location Address |
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Kristina Lynn Endicott, LPC 2694 Stone Coal Rd, Grundy, VA 24614 Ph: () - | Kristina Lynn Endicott, LPC 160 Court House Ln, Clintwood, VA 24228 Ph: (276) 219-3237 |
Erin Marie Janovec, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 | |
Brittney Danielle Powers Turner, MED Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Brandon R Bise, LPC Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Colby Dewayne Ball, LPC Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Jeffrey Mckinley Kennedy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 |