| Mrs Fancy Marie Kilgore, LADAC II | |
|
100 1st Ave Sw Ste 3, Winchester, TN 37398-1754 | |
| (931) 313-1588 | |
| Not Available |
| Full Name | Mrs Fancy Marie Kilgore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 1st Ave Sw Ste 3, Winchester, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366300493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1797 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Fancy Marie Kilgore, LADAC II 100 1st Ave Sw Ste 3, Ste 3, Winchester, TN 37398-1754 Ph: (931) 313-1588 | Mrs Fancy Marie Kilgore, LADAC II 100 1st Ave Sw Ste 3, Winchester, TN 37398-1754 Ph: (931) 313-1588 |
Ms. Wanda Lynn Spencer, ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave Sw, Suite 202 C, Winchester, TN 37398 Phone: 931-361-1333 | |
Ms. Jennifer Scully, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 Fairway Ter, Winchester, TN 37398 Phone: 708-695-4882 Fax: 888-494-1984 | |
David Moore, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 N High St, Apt. 1, Winchester, TN 37398 Phone: 931-962-0330 |