Cross Keys Equine Therapy | |
6107 Horse Farm Ln Port Republic VA 24471-2634 | |
(540) 607-6910 | |
Not Available |
Full Name | Cross Keys Equine Therapy |
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Speciality | Community/behavioral Health |
Location | 6107 Horse Farm Ln, Port Republic, Virginia |
Authorized Official Name and Position | Austin Canale Mikolin (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 5402800243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cross Keys Equine Therapy 6107 Horse Farm Ln Port Republic VA 24471-2634 Ph: (540) 607-6910 | Cross Keys Equine Therapy 6107 Horse Farm Ln Port Republic VA 24471-2634 Ph: (540) 607-6910 |
NPI Number | 1760828545 |
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Provider Enumeration Date | 05/20/2013 |
Last Update Date | 09/22/2021 |
Certification Date | 09/22/2021 |
Identifier | Type | State | Issuer |
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1760828545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |