Kennadi E Adams, | |
624 Market Ave N, Canton, OH 44702-1017 | |
(330) 493-4553 | |
(330) 493-3761 |
Full Name | Kennadi E Adams |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 624 Market Ave N, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467067710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | F2400390 (Ohio) | Primary |
Entity Name | Phoenix Rising Behavioral Healthcare And Recovery, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891737292 PECOS PAC ID: 2466485800 Enrollment ID: O20050915000559 |
Mailing Address | Practice Location Address |
---|---|
Kennadi E Adams, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553 | Kennadi E Adams, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553 |
Alyssa Marie Karoleski, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-445-2677 Fax: 330-455-2101 | |
Jasmine Spradley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-455-0374 Fax: 330-455-2101 | |
Deborah Park, IMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 527 30th St Nw, Canton, OH 44709 Phone: 330-313-1213 | |
Emily A Gross, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 401 Tuscarawas St W, Canton, OH 44702 Phone: 440-260-8300 | |
Kaelyn Rae Sanford, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-453-4553 Fax: 330-493-3761 | |
Jordyn Sedaker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761 |