| Kathy E Lee, MSED, LCPC, CADC, | |
|
460 S Deer Rd, Macomb, IL 61455-2602 | |
| (309) 575-3960 | |
| (309) 575-3988 |
| Full Name | Kathy E Lee |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 460 S Deer Rd, Macomb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760609416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180001608 (Illinois) | Primary |
| Entity Name | Therapeutic Solutions Of Macomb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477308815 PECOS PAC ID: 1052854288 Enrollment ID: O20240617001978 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy E Lee, MSED, LCPC, CADC, 525 E Grant St, Macomb, IL 61455-3313 Ph: (309) 833-4101 | Kathy E Lee, MSED, LCPC, CADC, 460 S Deer Rd, Macomb, IL 61455-2602 Ph: (309) 575-3960 |
Jessica Charlotte Fansler, Counselor Medicare: Medicare Enrolled Practice Location: 505 E Grant St Ste 310, Macomb, IL 61455 Phone: 309-836-1582 | |
Aimee Anderson, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 900 S Deer Rd, Macomb, IL 61455 Phone: 309-837-4876 Fax: 309-833-1531 | |
Kathleen Kenney, LCSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 630-483-7071 Fax: 630-483-7191 | |
Elizabeth Marie Hock, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 S Deer Rd, Macomb, IL 61455 Phone: 309-575-3960 Fax: 309-575-3988 | |
Ms. Kimberley S Laird, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 301 E Jefferson St, Macomb, IL 61455 Phone: 309-833-2191 Fax: 309-836-2118 | |
Mr. John F Reinert, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Macomb, IL 61455 Phone: 309-833-2191 Fax: 309-836-2118 | |
Mrs. Marcia Renee Roodhouse, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 East Carroll Street, Macomb, IL 61455 Phone: 309-255-2931 Fax: 309-776-4349 |