Jana Noel Kidd, LPCC, LCADC | |
840 Interstate Dr, Grayson, KY 41143-1768 | |
(606) 329-8588 | |
Not Available |
Full Name | Jana Noel Kidd |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 840 Interstate Dr, Grayson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164936522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 268561 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 292106 (Kentucky) | Primary |
Entity Name | Lighthouse Professional Counseling Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003218546 PECOS PAC ID: 4082938477 Enrollment ID: O20150112002286 |
Mailing Address | Practice Location Address |
---|---|
Jana Noel Kidd, LPCC, LCADC Po Box 790, Ashland, KY 41105-0790 Ph: (066) 329-8588 | Jana Noel Kidd, LPCC, LCADC 840 Interstate Dr, Grayson, KY 41143-1768 Ph: (606) 329-8588 |
Kelly J Conley, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Fivco Ct, Grayson, KY 41143 Phone: 606-928-4240 Fax: 606-928-4281 | |
Linda Handy, MED Counselor Medicare: Medicare Enrolled Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 866-233-1955 | |
Rachel James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 | |
Leandra Veillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Grayson, KY 41143 Phone: 606-474-0025 Fax: 606-474-0025 | |
Kara Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 | |
Karlena Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Cribbs Hl, Grayson, KY 41143 Phone: 606-475-0200 |