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NPI Code Detail

MEDICARE: KATELYN KRYSTINE PARRISH-KUEHN LCDC INTERN

MEDICARE: KATELYN KRYSTINE PARRISH-KUEHN LCDC INTERN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor57426TX

General Provider Information

NPI Number : 1306605027
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN KRYSTINE PARRISH-KUEHN LCDC INTERN
Provider Business Mailing Address
First Line : 2700 W 16TH AVE APT 166
Second Line :
City : AMARILLO
State : TX
Zip : 79102-2280
Country : US
Telephone Number : 620-204-1700
Fax Number :
Provider Business Practice Location Address
First Line : 803 S RUSK ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-6648
Country : US
Telephone Number : 806-374-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2024
Last Update Date : 03/15/2024

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