| Jennifer Eich Counseling Llc | |
|
210 N Broadway St Ste 1 Berea KY 40403-2212 | |
| (859) 248-4101 | |
| (877) 583-4715 |
| Full Name | Jennifer Eich Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 N Broadway St Ste 1, Berea, Kentucky |
| Authorized Official Name and Position | Jennifer Eich (OWNER/COUNSELOR) |
| Authorized Official Contact | 8592484101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Eich Counseling Llc 344 Keith Dr Berea KY 40403-8892 Ph: (859) 248-4101 | Jennifer Eich Counseling Llc 210 N Broadway St Ste 1 Berea KY 40403-2212 Ph: (859) 248-4101 |
| NPI Number | 1013788009 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 2365887957 |
|---|---|
| Medicare Enrollment ID | O20240305004080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013788009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer Eich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790107316 PECOS PAC ID: 3274978861 Enrollment ID: I20240305004152 |
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