Nicole Diana Madill-klupenger, LCPC 6404 | |
687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 | |
(541) 314-5734 | |
Not Available |
Full Name | Nicole Diana Madill-klupenger |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 687 Camp Nine Rd, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366990996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCPC-6404 (Idaho) | Primary |
101YP2500X | Counselor - Professional | LPC5539 (Idaho) | Secondary |
Entity Name | Rawlings Community Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245528082 PECOS PAC ID: 8820222086 Enrollment ID: O20131002000297 |
Mailing Address | Practice Location Address |
---|---|
Nicole Diana Madill-klupenger, LCPC 6404 687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 Ph: (541) 314-5734 | Nicole Diana Madill-klupenger, LCPC 6404 687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 Ph: (541) 314-5734 |
Rachel Nicole Nabors, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Barbara Hinderlie, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 | |
Mona Kim-brown, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Jeffrey Mcdowell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Mrs. Denys Taipale-knight, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Moose Ridge Lane, Bonners Ferry, ID 83805 Phone: 208-267-7607 | |
Aaron Christopher Morgen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6426 Kootenai St, Suite 103, Bonners Ferry, ID 83805 Phone: 208-745-2700 Fax: 208-598-7990 |