| Katrina Lyn Olden, LCPC | |
|
50 Northgate Industrial Dr, Granite City, IL 62040-6805 | |
| (618) 877-4420 | |
| Not Available |
| Full Name | Katrina Lyn Olden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 50 Northgate Industrial Dr, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417678509 | NPI | - | NPPES |
| Entity Name | Chestnut Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Lyn Olden, LCPC 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 Ph: (888) 924-3786 | Katrina Lyn Olden, LCPC 50 Northgate Industrial Dr, Granite City, IL 62040-6805 Ph: (618) 877-4420 |
Kristle Kapp, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 Fax: 618-877-9250 | |
Jillian Mccammack, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Ms. Stacy R Dierks, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Kathryn Steely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4000 State Route 111, Granite City, IL 62040 Phone: 314-282-5835 | |
Mr. James Aaron Shultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Kathleen M Brandt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2407 Meadowlane Dr, Granite City, IL 62040 Phone: 618-771-6996 | |
Lainie Joy Barron, Counselor Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 |