Kayres Counseling Llc | |
392 Red Cedar St Ste 3b Menomonie WI 54751-2338 | |
(715) 231-2010 | |
(715) 231-2070 |
Full Name | Kayres Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 392 Red Cedar St Ste 3b, Menomonie, Wisconsin |
Authorized Official Name and Position | Kami Ayres (OWNER) |
Authorized Official Contact | 7152312010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kayres Counseling Llc 392 Red Cedar St Ste 3b Menomonie WI 54751-2338 Ph: (715) 231-2010 | Kayres Counseling Llc 392 Red Cedar St Ste 3b Menomonie WI 54751-2338 Ph: (715) 231-2010 |
NPI Number | 1508202755 |
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Provider Enumeration Date | 05/15/2013 |
Last Update Date | 11/29/2023 |
Certification Date | 11/29/2023 |
Medicare PECOS PAC ID | 1759677974 |
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Medicare Enrollment ID | O20160914000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508202755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 7641-123 (Wisconsin) | Primary |
Provider Name | Kami M Ayres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336469824 PECOS PAC ID: 9032307327 Enrollment ID: I20101230001035 |
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