Kimberly Louise Keon, | |
350 Indian Boundary Rd, Chesterton, IN 46304-1511 | |
(219) 308-1570 | |
Not Available |
Full Name | Kimberly Louise Keon |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 350 Indian Boundary Rd, Chesterton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134865322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87900033A (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 88001118A (Indiana) | Secondary |
Entity Name | Animal Assisted Counseling Of Indiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699272773 PECOS PAC ID: 8820524408 Enrollment ID: O20241205002917 |
Mailing Address | Practice Location Address |
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Kimberly Louise Keon, 7035 Knickerbocker Pkwy, Hammond, IN 46323-2028 Ph: (773) 655-2924 | Kimberly Louise Keon, 350 Indian Boundary Rd, Chesterton, IN 46304-1511 Ph: (219) 308-1570 |
Ms. Beth Liane Noel, LMHC, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway, Chesterton, IN 46304 Phone: 219-763-8112 | |
Kierstin Berggren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Sand Creek Dr Ste 101, Chesterton, IN 46304 Phone: 219-359-3272 | |
Douglas Scott Adams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1674 Port Cove Dr, Chesterton, IN 46304 Phone: 219-226-8806 | |
Mr. Joseph W Adams Jr., MA-COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 824 Olde Towne Sq, Chesterton, IN 46304 Phone: 219-331-4875 | |
Mrs. Rebecca J. Whited, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Indiana Ave, Chesterton, IN 46304 Phone: 219-921-0705 Fax: 219-921-0557 | |
Mrs. Karen Marie Fatouros, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Indiana Ave, Chesterton, IN 46304 Phone: 219-921-0705 |