| Sara Kelner Lpcc Lmac Pllc | |
|
211 4th St Ne Ste 7 Devils Lake ND 58301-2479 | |
| (701) 381-9911 | |
| Not Available |
| Full Name | Sara Kelner Lpcc Lmac Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 4th St Ne Ste 7, Devils Lake, North Dakota |
| Authorized Official Name and Position | Sara C Kelner (OWNER) |
| Authorized Official Contact | 7013819911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Kelner Lpcc Lmac Pllc Po Box 151 Cando ND 58324-0151 Ph: (701) 440-0703 | Sara Kelner Lpcc Lmac Pllc 211 4th St Ne Ste 7 Devils Lake ND 58301-2479 Ph: (701) 381-9911 |
| NPI Number | 1306410550 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 7315380698 |
|---|---|
| Medicare Enrollment ID | O20240205001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306410550 | NPI | - | NPPES |
| Provider Name | Sara Charlie Kelner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851771539 PECOS PAC ID: 8527401702 Enrollment ID: I20240329002332 |
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