| Kcd Counseling | |
|
14 Pecan Ct Winterville GA 30683-2325 | |
| (517) 285-9165 | |
| Not Available |
| Full Name | Kcd Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 14 Pecan Ct, Winterville, Georgia |
| Authorized Official Name and Position | Kathleen Christine Dart (OWNER) |
| Authorized Official Contact | 5172859165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcd Counseling 14 Pecan Ct Winterville GA 30683-2325 Ph: (517) 285-9165 | Kcd Counseling 14 Pecan Ct Winterville GA 30683-2325 Ph: (517) 285-9165 |
| NPI Number | 1346966751 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Medicare PECOS PAC ID | 7618349598 |
|---|---|
| Medicare Enrollment ID | O20230202003320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346966751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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