| Cardinal Counseling, Llc | |
|
1810 Dogwood Dr Kokomo IN 46902-5737 | |
| (765) 553-5691 | |
| (765) 553-5772 |
| Full Name | Cardinal Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1810 Dogwood Dr, Kokomo, Indiana |
| Authorized Official Name and Position | Christine S Simpson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7655535691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Counseling, Llc 1810 Dogwood Dr Kokomo IN 46902-5737 Ph: (765) 553-5691 | Cardinal Counseling, Llc 1810 Dogwood Dr Kokomo IN 46902-5737 Ph: (765) 553-5691 |
| NPI Number | 1043825763 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 7416375902 |
|---|---|
| Medicare Enrollment ID | O20200915003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043825763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine S Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306972401 PECOS PAC ID: 5395771315 Enrollment ID: I20050712000228 |
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