MEDICARE: KNRB AND ASSOCIATES GLOBAL, LLC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144847823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNRB AND ASSOCIATES GLOBAL, LLC

Provider Business Mailing Address
First Line	:	4551 E BAJADA RD
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-2675
Country	:	US
Telephone Number	:	828-577-2598
Fax Number	:

Provider Business Practice Location Address
First Line	:	4551 E BAJADA RD
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-2675
Country	:	US
Telephone Number	:	828-577-2598
Fax Number	:

Authorized Official
Title or Position	:	OWNER, MANAGING MEMBER
Name	:	KRISTINE LYNN NUTT
Credential	:	LCSW, LCAS
Telephone Number	:	828-577-2598

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	06/29/2020

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