| Sm Counseling | |
|
2600 Dodge St Ste D4 Dubuque IA 52003-7161 | |
| (708) 203-3820 | |
| Not Available |
| Full Name | Sm Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2600 Dodge St Ste D4, Dubuque, Iowa |
| Authorized Official Name and Position | Shana M Kutsch (OWNER) |
| Authorized Official Contact | 5636630670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sm Counseling 2600 Dodge St Ste D4 Dubuque IA 52003-7161 Ph: (563) 663-0670 | Sm Counseling 2600 Dodge St Ste D4 Dubuque IA 52003-7161 Ph: (708) 203-3820 |
| NPI Number | 1346862083 |
|---|---|
| Provider Enumeration Date | 05/16/2020 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 5698117885 |
|---|---|
| Medicare Enrollment ID | O20240520001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346862083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shana Kutsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770941551 PECOS PAC ID: 7315389509 Enrollment ID: I20240520001440 |
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