| Kristina Lynn Endicott, LPC | |
|
160 Court House Ln, Clintwood, VA 24228 | |
| (276) 219-3237 | |
| Not Available |
| Full Name | Kristina Lynn Endicott |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 160 Court House Ln, Clintwood, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588337901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701010360 (Virginia) | Primary |
| Entity Name | Propel Counseling Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447866751 PECOS PAC ID: 6709224710 Enrollment ID: O20240409003485 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Lynn Endicott, LPC 2694 Stone Coal Rd, Grundy, VA 24614 Ph: () - | Kristina Lynn Endicott, LPC 160 Court House Ln, Clintwood, VA 24228 Ph: (276) 219-3237 |
Erin Marie Janovec, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 | |
Brittney Danielle Powers Turner, MED Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Brandon R Bise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Colby Dewayne Ball, LPC Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 |