| Whole Wellness Counseling | |
|
16 Cinema Dr Apt 119 Ithaca NY 14850-1665 | |
| (607) 793-4260 | |
| Not Available |
| Full Name | Whole Wellness Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 16 Cinema Dr Apt 119, Ithaca, New York |
| Authorized Official Name and Position | Katherine Marie Durrant (OWNER/CLINICIAN) |
| Authorized Official Contact | 6077934260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Wellness Counseling 16 Cinema Dr Apt 119 Ithaca NY 14850-1665 Ph: (607) 793-7555 | Whole Wellness Counseling 16 Cinema Dr Apt 119 Ithaca NY 14850-1665 Ph: (607) 793-4260 |
| NPI Number | 1639865710 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 9739533001 |
|---|---|
| Medicare Enrollment ID | O20230921000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639865710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine Marie Durrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992276737 PECOS PAC ID: 1557715828 Enrollment ID: I20230921000583 |
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