| Ms Kristen Kay Dunn, PCC-SC, LICDC-CS | |
|
36 N Detroit St, Xenia, OH 45385-2909 | |
| (937) 610-4673 | |
| (937) 736-2615 |
| Full Name | Ms Kristen Kay Dunn |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 36 N Detroit St, Xenia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063872356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 944117 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.0003314 (Ohio) | Primary |
| Entity Name | Decoach Team Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristen Kay Dunn, PCC-SC, LICDC-CS 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: (513) 743-7628 | Ms Kristen Kay Dunn, PCC-SC, LICDC-CS 36 N Detroit St, Xenia, OH 45385-2909 Ph: (937) 610-4673 |
Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 | |
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348 | |
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306 | |
Mr. Frank Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 N Allison Ave, Xenia, OH 45385 Phone: 937-708-8000 | |
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184 | |
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 |