Ms Susan Kornett, MA, LPCA, LCASA | |
111 Windel Dr, Suite 205, Raleigh, NC 27609-4475 | |
(919) 915-5933 | |
Not Available |
Full Name | Ms Susan Kornett |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 111 Windel Dr, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558758276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20769 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | A11256 (North Carolina) | Primary |
Entity Name | Avance Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Kornett, MA, LPCA, LCASA 1321 Sasswood Ln, Zebulon, NC 27597-2158 Ph: (919) 915-5933 | Ms Susan Kornett, MA, LPCA, LCASA 111 Windel Dr, Suite 205, Raleigh, NC 27609-4475 Ph: (919) 915-5933 |
Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784 | |
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419 | |
Jeffrey Alan Simms, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 Phone: 919-277-0253 Fax: 833-449-5270 | |
James Treires, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5509 Creedmoor Rd, Raleigh, NC 27612 Phone: 919-573-6520 Fax: 919-573-6555 | |
Kimberly Hope Brandon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615 Phone: 919-423-2310 | |
Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660 | |
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713 |