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NPI Code Detail

MEDICARE: MISS KACIE LEIGH DUGAS

MEDICARE:  MISS KACIE LEIGH DUGAS
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
1101YP2500XProfessional CounselorPC019849PA

General Provider Information

NPI Number : 1114619145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KACIE LEIGH DUGAS
Provider Business Mailing Address
First Line : 580 DE SHORT RD
Second Line :
City : DAWSON
State : GA
Zip : 39842-4249
Country : US
Telephone Number : 229-364-6180
Fax Number :
Provider Business Practice Location Address
First Line : 3000 PARK PLACE DR STE 108
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-2068
Country : US
Telephone Number : 724-374-3468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2023
Last Update Date : 01/20/2026

Similar Medicare Providers

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Practice Location Address:
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1790481059 — JORDAN BILICH MSW, LCSW
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1528761731 — HOLLY WATCHEK
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Directions to “ MISS KACIE LEIGH DUGAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.