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NPI Code Detail

MEDICARE: JEREMIAH KATS

MEDICARE: JEREMIAH KATS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLPC-6202ID

General Provider Information

NPI Number : 1326622572
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMIAH KATS
Provider Business Mailing Address
First Line : 532 KEARNEY PL
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-2835
Country : US
Telephone Number : 208-949-0456
Fax Number :
Provider Business Practice Location Address
First Line : 3812 CEDAR HEIGHTS DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-6260
Country : US
Telephone Number : 319-260-2149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 05/12/2021

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Directions to “ JEREMIAH KATS ” Practice Location

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