| Christopher Andrew Clan, | |
|
1072 S Dixie Blvd, Radcliff, KY 40160-1103 | |
| (270) 351-8166 | |
| (270) 351-8322 |
| Full Name | Christopher Andrew Clan |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1072 S Dixie Blvd, Radcliff, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245730910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | 272176 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Lakes Counseling Services Llc | 4082948070 | 13 |
| Entity Name | Twin Lakes Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508100447 PECOS PAC ID: 4082948070 Enrollment ID: O20190625002494 |
| Entity Name | Tlbh Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518553874 PECOS PAC ID: 6204285760 Enrollment ID: O20231208001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Andrew Clan, 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 Ph: (270) 765-2605 | Christopher Andrew Clan, 1072 S Dixie Blvd, Radcliff, KY 40160-1103 Ph: (270) 351-8166 |
Laquita Gaskins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Lassiter Ct, Radcliff, KY 40160 Phone: 270-300-1841 |
Andew James King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1072 S Dixie Blvd, Radcliff, KY 40160 Phone: 270-765-2605 Fax: 270-234-8572 |
Brittanie Washington, Counselor Medicare: May Accept Medicare Assignments Practice Location: 206 N Logsdon Pkwy, Radcliff, KY 40160 Phone: 270-272-4000 |
Melinda Bogle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 990 S Dixie Blvd, Radcliff, KY 40160 Phone: 859-436-8411 |
Christohper David Alvin Seals, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1072 S Dixie Blvd, Radcliff, KY 40160 Phone: 270-351-8166 Fax: 270-351-8322 |
Amanda Lacefield, LPCC-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 562 N Dixie Blvd Ste B4, Radcliff, KY 40160 Phone: 270-317-1318 |
Cathy Ann Stanley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12824 Cub Run Hwy, Radcliff, KY 40160 Phone: 270-823-3405 |