| North Star Counseling Services, Llc | |
|
1850 Lantaff Blvd Ste 203 Madisonville KY 42431-9473 | |
| (270) 452-9488 | |
| Not Available |
| Full Name | North Star Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1850 Lantaff Blvd Ste 203, Madisonville, Kentucky |
| Authorized Official Name and Position | Dawn Tedder (OWNER) |
| Authorized Official Contact | 2704529488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Counseling Services, Llc 340 Meadowlark Ln Madisonville KY 42431-9354 Ph: (270) 452-9488 | North Star Counseling Services, Llc 1850 Lantaff Blvd Ste 203 Madisonville KY 42431-9473 Ph: (270) 452-9488 |
| NPI Number | 1922749894 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922749894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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