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NPI Code Detail

MEDICARE: KUGELMAN COUNSELING CENTER

MEDICARE: KUGELMAN COUNSELING CENTER
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1487800983
Entity Type Code : Organization
Provider Name (Legal Business Name) : KUGELMAN COUNSELING CENTER
Provider Business Mailing Address
First Line : 1300 N PALAFOX ST STE 103
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2678
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N PALAFOX ST STE 103
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2678
Country : US
Telephone Number : 850-266-2700
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CYNTHIA BLACKWELL
Credential :
Telephone Number : 850-266-2700
Provider Enumeration Date : 08/15/2008
Last Update Date : 08/15/2008

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Directions to “KUGELMAN COUNSELING CENTER ” Practice Location

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