| Krd Counseling And Wellness Center, Llc | |
|
162 S 2nd Ave Clarion PA 16214-2464 | |
| (824) 299-6402 | |
| Not Available |
| Full Name | Krd Counseling And Wellness Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 162 S 2nd Ave, Clarion, Pennsylvania |
| Authorized Official Name and Position | Kari Overheim (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8142996402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krd Counseling And Wellness Center, Llc 162 S 2nd Ave Ste D Clarion PA 16214-2464 Ph: (814) 900-4510 | Krd Counseling And Wellness Center, Llc 162 S 2nd Ave Clarion PA 16214-2464 Ph: (824) 299-6402 |
| NPI Number | 1134867930 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 6800239088 |
|---|---|
| Medicare Enrollment ID | O20240205001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134867930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Kari Marie Overheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093146326 PECOS PAC ID: 2163865346 Enrollment ID: I20240325001845 |
| Provider Name | Rebecca Jo Coull |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780035709 PECOS PAC ID: 1557703949 Enrollment ID: I20240530003652 |
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