Small Bridges Counseling | |
1562 Sand Springs Rd Mount Vernon KY 40456-9060 | |
(785) 375-4439 | |
Not Available |
Full Name | Small Bridges Counseling |
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Speciality | Social Worker |
Location | 1562 Sand Springs Rd, Mount Vernon, Kentucky |
Authorized Official Name and Position | Jason M (OFFICE MANAGER 1) |
Authorized Official Contact | 7853754439 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Small Bridges Counseling 1562 Sand Springs Rd Mount Vernon KY 40456-9060 Ph: (785) 375-4439 | Small Bridges Counseling 1562 Sand Springs Rd Mount Vernon KY 40456-9060 Ph: (785) 375-4439 |
NPI Number | 1609466887 |
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Provider Enumeration Date | 01/21/2021 |
Last Update Date | 05/09/2021 |
Certification Date | 05/09/2021 |
Medicare PECOS PAC ID | 3274932546 |
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Medicare Enrollment ID | O20210519001749 |
Identifier | Type | State | Issuer |
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1609466887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tina Kun |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639520166 PECOS PAC ID: 3678909231 Enrollment ID: I20200130002225 |
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