| Killian Counseling Llc | |
|
2700 E Main St Ste 106 Columbus OH 43209-2536 | |
| (937) 361-4457 | |
| Not Available |
| Full Name | Killian Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2700 E Main St Ste 106, Columbus, Ohio |
| Authorized Official Name and Position | Vickie Killian (SOLE MEMBER) |
| Authorized Official Contact | 9373614457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Killian Counseling Llc 263 Spring Hollow Ln Westerville OH 43081-1159 Ph: (937) 361-4457 | Killian Counseling Llc 2700 E Main St Ste 106 Columbus OH 43209-2536 Ph: (937) 361-4457 |
| NPI Number | 1699303669 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 1052739786 |
|---|---|
| Medicare Enrollment ID | O20200914000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699303669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vickie K Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538232103 PECOS PAC ID: 9032123971 Enrollment ID: I20060131000555 |
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