Mr Dane Justin Tosh, LPCA | |
1079 Thornberry Dr Ste 203, Madisonville, KY 42431-1600 | |
(270) 874-2560 | |
(270) 825-8081 |
Full Name | Mr Dane Justin Tosh |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1079 Thornberry Dr Ste 203, Madisonville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073100285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 264110 (Kentucky) | Primary |
Entity Name | Kentucky Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
Mailing Address | Practice Location Address |
---|---|
Mr Dane Justin Tosh, LPCA 300 Hope St, Mt Washington, KY 40047-7757 Ph: (502) 538-1000 | Mr Dane Justin Tosh, LPCA 1079 Thornberry Dr Ste 203, Madisonville, KY 42431-1600 Ph: (270) 874-2560 |
Doris G Murray, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 E Arch St, Madisonville, KY 42431 Phone: 833-510-4357 | |
Ms. Stephanie Faith Brewster, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr, Suite D, Madisonville, KY 42431 Phone: 270-874-2560 | |
Creasha King, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr Ste B, Madisonville, KY 42431 Phone: 270-825-1698 | |
Rachel Elizabeth Vaughan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 | |
Candida Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 Fax: 270-821-8883 | |
Ms. Shellie Gary-cheirs, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 108 South Main Street, Suite 104, Madisonville, KY 42431 Phone: 270-681-2273 |