| Kymberly Whitenburg, | |
|
211 Biede Ave, Defiance, OH 43512-2497 | |
| (419) 785-3800 | |
| Not Available |
| Full Name | Kymberly Whitenburg |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 211 Biede Ave, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003459751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.1901822-TRNE (Ohio) | Primary |
| Entity Name | Maumee Valley Guidance Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033189642 PECOS PAC ID: 0547293003 Enrollment ID: O20050914001344 |
| Mailing Address | Practice Location Address |
|---|---|
| Kymberly Whitenburg, 211 Biede Ave, Defiance, OH 43512-2497 Ph: (419) 785-3800 | Kymberly Whitenburg, 211 Biede Ave, Defiance, OH 43512-2497 Ph: (419) 785-3800 |
Amy L Slattery, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 Fax: 419-784-4506 | |
Alycia Bany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Linda K Schlachter Mcdonald, SWA, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 | |
Mattea Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Alexis Sinn, Counselor Medicare: Medicare Enrolled Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 | |
Elizabeth A Herbert, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 |