| Phylissa Daquino, LPCC | |
|
631 Silver St, Kenton, OH 43326-1499 | |
| (419) 673-7248 | |
| Not Available |
| Full Name | Phylissa Daquino |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 631 Silver St, Kenton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518484286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2203068 (Ohio) | Primary |
| Entity Name | Health Partners Of Western Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760952741 PECOS PAC ID: 9436139987 Enrollment ID: O20150313002043 |
| Mailing Address | Practice Location Address |
|---|---|
| Phylissa Daquino, LPCC 329 N West St, Lima, OH 45801-4332 Ph: (419) 221-3072 | Phylissa Daquino, LPCC 631 Silver St, Kenton, OH 43326-1499 Ph: (419) 673-7248 |
Bonita A. Burroughs, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Kenton, OH 43326 Phone: 614-334-6903 | |
Aushele Gaye Sarver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 775 E Eliza St, Kenton, OH 43326 Phone: 419-675-2243 Fax: 419-674-4661 | |
Amber Marie Getz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Kenton, OH 43326 Phone: 419-679-1697 | |
Courtney Jade Blackburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 775 E Eliza St, Kenton, OH 43326 Phone: 419-679-1219 | |
Tiffanie Norton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Kenton, OH 43326 Phone: 614-334-6903 | |
Marjean Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Kenton, OH 43326 Phone: 419-679-1697 | |
Mr. Joseph Roy Hillman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 775 E Eliza St, Kenton, OH 43326 Phone: 419-679-1219 |