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NPI Code Detail

MEDICARE: KATELYN BINKLEY

MEDICARE:   KATELYN  BINKLEY
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1447720230
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN BINKLEY
Provider Business Mailing Address
First Line : 310 E 10TH ST APT E1
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-4496
Country : US
Telephone Number : 615-720-3797
Fax Number :
Provider Business Practice Location Address
First Line : 606 E SPRING ST STE B
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-5067
Country : US
Telephone Number : 931-303-0665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2018
Last Update Date : 12/05/2018

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Directions to “ KATELYN BINKLEY ” Practice Location

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