| Patina E Nelson, LCDCIII | |
|
311 Martin Luther King Dr W, Cincinnati, OH 45220 | |
| (513) 475-5800 | |
| Not Available |
| Full Name | Patina E Nelson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 311 Martin Luther King Dr W, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184121303 | NPI | - | NPPES |
| I161433 | Other | OH | CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161433 (Ohio) | Primary |
| Entity Name | Cleanslate Medical Group Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800193 PECOS PAC ID: 9537418025 Enrollment ID: O20190108003833 |
| Mailing Address | Practice Location Address |
|---|---|
| Patina E Nelson, LCDCIII 311 Martin Luther King Dr W, Cincinnati, OH 45220 Ph: (513) 475-5800 | Patina E Nelson, LCDCIII 311 Martin Luther King Dr W, Cincinnati, OH 45220 Ph: (513) 475-5800 |
Mark Pruden, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Calhoun St, Cincinnati, OH 45219 Phone: 513-861-6543 Fax: 513-381-0016 | |
Mr. Brian Spears, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7265 Kenwood Rd Ste 321, Cincinnati, OH 45236 Phone: 513-657-8718 | |
Jaime Surber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11590 Century Blvd Ste 116, Cincinnati, OH 45246 Phone: 513-771-7239 Fax: 513-771-3878 | |
Miss Sarah Marie Clark, COUNSELOR TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Madison Rd, Cincinnati, OH 45227 Phone: 513-272-2800 | |
Jennifer Mcniese, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 6019, Cincinnati, OH 45229 Phone: 513-636-4124 Fax: 513-636-4283 | |
Kara Ann Meyer, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4030 Mount Carmel Tobasco Rd, Suite 209, Cincinnati, OH 45255 Phone: 513-718-0886 | |
Wendy M Saunders, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6852 E Farm Acres Dr, Cincinnati, OH 45237 Phone: 513-476-2777 |