| Coshocton County Drug & Alcohol Council, Inc | |
|
610 Walnut St Coshocton OH 43812-1655 | |
| (740) 622-0033 | |
| (740) 622-0210 |
| Full Name | Coshocton County Drug & Alcohol Council, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 610 Walnut St, Coshocton, Ohio |
| Authorized Official Name and Position | Jeanette Sue Hall (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7406220033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coshocton County Drug & Alcohol Council, Inc 610 Walnut St Coshocton OH 43812-1655 Ph: (740) 622-0033 | Coshocton County Drug & Alcohol Council, Inc 610 Walnut St Coshocton OH 43812-1655 Ph: (740) 622-0033 |
| NPI Number | 1114987138 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 06/20/2025 |
| Certification Date | 06/20/2025 |
| Medicare PECOS PAC ID | 3577000983 |
|---|---|
| Medicare Enrollment ID | O20240802002518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114987138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Robert B Gwinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831194158 PECOS PAC ID: 4789616103 Enrollment ID: I20050907000460 |
| Provider Name | Jamie Lynn Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508375114 PECOS PAC ID: 8527324128 Enrollment ID: I20171115001731 |
| Provider Name | Megan M Daugherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871114629 PECOS PAC ID: 3779955281 Enrollment ID: I20230209002289 |
| Provider Name | Christine J Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386205409 PECOS PAC ID: 6406394568 Enrollment ID: I20240820003455 |
| Provider Name | Jeanette Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386099653 PECOS PAC ID: 0749727154 Enrollment ID: I20240829002238 |
| Provider Name | Tyra Hixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831545276 PECOS PAC ID: 4385181791 Enrollment ID: I20240923002304 |
| Provider Name | Jane Engott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356877559 PECOS PAC ID: 1052852613 Enrollment ID: I20240923002416 |
| Provider Name | Nathan P Leavengood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568944320 PECOS PAC ID: 9234660358 Enrollment ID: I20241001000621 |
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