Kristina M Burns, LPCC-S, LICDC | |
700 Park Ave, Ironton, OH 45638-1502 | |
(740) 532-1613 | |
(740) 532-1715 |
Full Name | Kristina M Burns |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 700 Park Ave, Ironton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114293842 | NPI | - | NPPES |
0213059 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.0800503 (Ohio) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162000 (Ohio) | Secondary |
Entity Name | Mended Reeds Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407261977 PECOS PAC ID: 5092013987 Enrollment ID: O20171204002429 |
Mailing Address | Practice Location Address |
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Kristina M Burns, LPCC-S, LICDC 1770 Centenary Rd, Gallipolis, OH 45631-8530 Ph: (740) 645-3051 | Kristina M Burns, LPCC-S, LICDC 700 Park Ave, Ironton, OH 45638-1502 Ph: (740) 532-1613 |
Randy Wayne Cable Ii, LISW, LICDC, PRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 N 4th St, Ironton, OH 45638 Phone: 740-237-4981 | |
Andrew T Finley, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Spruce St, Ironton, OH 45638 Phone: 740-533-9850 | |
Joseph S Morris, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 4th St, Ironton, OH 45638 Phone: 740-532-3767 Fax: 740-532-3385 | |
Jennifer Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N 2nd St, Ironton, OH 45638 Phone: 740-442-7045 Fax: 740-442-7046 | |
Chase Lewis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143 | |
Tierra Troxler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Mastin Ave, Ironton, OH 45638 Phone: 740-307-6407 | |
Audra Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 |