| Kacie Nicole Sandlin, LPC | |
|
530 County Road 541, Jackson, MO 63755-7153 | |
| (573) 275-9696 | |
| Not Available |
| Full Name | Kacie Nicole Sandlin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 530 County Road 541, Jackson, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093574956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Bootheel Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386789139 PECOS PAC ID: 5496725145 Enrollment ID: O20040802000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacie Nicole Sandlin, LPC 530 County Road 541, Jackson, MO 63755-7153 Ph: (573) 275-9696 | Kacie Nicole Sandlin, LPC 530 County Road 541, Jackson, MO 63755-7153 Ph: (573) 275-9696 |
Ms. Amy Lauren Mitchell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Main St Ste 8, Jackson, MO 63755 Phone: 573-352-5281 | |
Ashlee Sitze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1413 N Farmington Rd Apt 18, Jackson, MO 63755 Phone: 573-200-1052 | |
Jennifer Moyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9501 | |
Christina Renee Ivy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1166 Greenway Dr, Suite B5, Jackson, MO 63755 Phone: 573-243-9900 Fax: 573-243-5320 | |
Laura Baugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9501 | |
Mrs. Alissa Marie Quaite, ED.S, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Main St Ste 8, Jackson, MO 63755 Phone: 573-580-0836 |