Kazsmer Counseling Service Inc | |
15522 Madison Ave Lakewood OH 44107-4024 | |
(216) 544-4840 | |
Not Available |
Full Name | Kazsmer Counseling Service Inc |
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Speciality | Counselor |
Location | 15522 Madison Ave, Lakewood, Ohio |
Authorized Official Name and Position | Karen Kazsmer (PRESIDENT/OWNER) |
Authorized Official Contact | 2165444840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kazsmer Counseling Service Inc 2140 Atkins Ave Lakewood OH 44107-5406 Ph: (216) 544-4840 | Kazsmer Counseling Service Inc 15522 Madison Ave Lakewood OH 44107-4024 Ph: (216) 544-4840 |
NPI Number | 1063008563 |
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Provider Enumeration Date | 12/18/2020 |
Last Update Date | 12/18/2020 |
Certification Date | 12/18/2020 |
Medicare PECOS PAC ID | 7214376607 |
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Medicare Enrollment ID | O20240418000473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063008563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Karen A Kazsmer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063491579 PECOS PAC ID: 7416396825 Enrollment ID: I20240418001504 |
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