| Km Counseling, Llc | |
|
324 Elm St Ste 204b Monroe CT 06468-2284 | |
| (475) 882-8712 | |
| Not Available |
| Full Name | Km Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 324 Elm St Ste 204b, Monroe, Connecticut |
| Authorized Official Name and Position | Grace Cullen (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 2033685515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Counseling, Llc 324 Elm St Ste 204b Monroe CT 06468-2284 Ph: (475) 882-8712 | Km Counseling, Llc 324 Elm St Ste 204b Monroe CT 06468-2284 Ph: (475) 882-8712 |
| NPI Number | 1033761200 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 2961839782 |
|---|---|
| Medicare Enrollment ID | O20200217001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033761200 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelli Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265803472 PECOS PAC ID: 5092019299 Enrollment ID: I20160209001474 |
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