| Katrina Klaehn, Ma, Lpc | |
|
4231 Ridgecrest Cir Ste B Amarillo TX 79109-5498 | |
| (806) 803-5013 | |
| (806) 553-1312 |
| Full Name | Katrina Klaehn, Ma, Lpc |
|---|---|
| Speciality | Counselor |
| Location | 4231 Ridgecrest Cir Ste B, Amarillo, Texas |
| Authorized Official Name and Position | Katrina D Klaehn (OWNER) |
| Authorized Official Contact | 8068035013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Klaehn, Ma, Lpc 4231 Ridgecrest Cir Ste B Amarillo TX 79109-5498 Ph: (806) 803-5013 | Katrina Klaehn, Ma, Lpc 4231 Ridgecrest Cir Ste B Amarillo TX 79109-5498 Ph: (806) 803-5013 |
| NPI Number | 1851897995 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 10/25/2020 |
| Certification Date | 10/25/2020 |
| Medicare PECOS PAC ID | 3779936406 |
|---|---|
| Medicare Enrollment ID | O20240130001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851897995 | NPI | - | NPPES |
| 3025488-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 74076 (Texas) | Primary |
| Provider Name | Katrina D'ann Klaehn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982151346 PECOS PAC ID: 5597118224 Enrollment ID: I20240130001862 |
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