| Teresa S Dement, LPCC, LICDC | |
|
1220 W Hunter St, Logan, OH 43138-1012 | |
| (740) 205-2999 | |
| (740) 216-4501 |
| Full Name | Teresa S Dement |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1220 W Hunter St, Logan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457890097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161833 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.1901231 (Ohio) | Primary |
| Entity Name | Common Bond Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326542507 PECOS PAC ID: 8022422096 Enrollment ID: O20210202003347 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa S Dement, LPCC, LICDC 1220 W Hunter St, Logan, OH 43138-1012 Ph: (740) 205-2999 | Teresa S Dement, LPCC, LICDC 1220 W Hunter St, Logan, OH 43138-1012 Ph: (740) 205-2999 |
Sara B Horn, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Mrs. Danielle Arnett, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-7756 Fax: 740-777-4014 | |
Brock Wolford, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 | |
Mrs. Rebecca Faith Rich-fidler, MA, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-6165 Fax: 740-777-4014 | |
Sierra Schaaf, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-773-4032 | |
Nicole K Egger, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Debra Lynn Broderick, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 Fax: 740-879-2970 |