Tracey Smith, CADC,LPCC | |
3830 Highway 15 S, Jackson, KY 41339-8675 | |
(606) 666-7591 | |
(606) 666-8364 |
Full Name | Tracey Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3830 Highway 15 S, Jackson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366869596 | NPI | - | NPPES |
7100297940 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 103847 (Kentucky) | Primary |
Entity Name | Kentucky River Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017142 PECOS PAC ID: 3870481229 Enrollment ID: O20040308000506 |
Mailing Address | Practice Location Address |
---|---|
Tracey Smith, CADC,LPCC 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761 | Tracey Smith, CADC,LPCC 3830 Highway 15 S, Jackson, KY 41339-8675 Ph: (606) 666-7591 |
Dreama Wooton, CDDC,LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3830 Highway 15 S, Jackson, KY 41339 Phone: 606-666-7591 Fax: 606-666-8364 | |
Christie Lynn Turner, CADC,LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3830 Highway 15 S, Jackson, KY 41339 Phone: 606-666-7591 Fax: 606-666-8364 | |
John F. Inserra Jr., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 Highway 15 S, Jackson, KY 41339 Phone: 606-436-5761 Fax: 606-436-5797 | |
Mrs. Linda Gail Cox, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Cox Dr, Jackson, KY 41339 Phone: 606-666-7942 | |
Roscoe H Stamper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 Highway 15 S, Jackson, KY 41339 Phone: 606-436-5761 Fax: 606-436-5797 | |
Jessica Renee Carlington, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1589 Highway 15 S Ste 270, Jackson, KY 41339 Phone: 606-666-4668 Fax: 606-666-4670 |