Individual ProviderMary C. NordlohCounselorBehavioral Health & Social Service ProvidersPractice Address7000 Houston Rd, Suite 29 And 30, Florence, KY 41042-4873(859) 746-9272(859) 331-5358PECOS EnrollmentBased on the most recent information from CMS, provider Mary C. Nordloh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1023142833Provider TypeIndividualFull NameNordloh, Mary C.TitleMrs.CredentialL.P.C.C.GenderFemaleSole ProprietorNoEnumeration Date3/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address7000 Houston Rd, Suite 29 And 30, Florence, KY 41042-4873Phone(859) 746-9272Fax(859) 746-9322Mailing LocationMailing Address2716 Vera Cruz Dr, Villa Hills, KY 41017-1035Phone(859) 331-5358FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseE.0003681Ohio