Allison Rosales, | |
626 Revolution St, Havre De Grace, MD 21078-3320 | |
(410) 939-8744 | |
Not Available |
Full Name | Allison Rosales |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 626 Revolution St, Havre De Grace, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255816765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP8615 (Maryland) | Primary |
Entity Name | Sheppard Pratt Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737 |
Mailing Address | Practice Location Address |
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Allison Rosales, 626 Revolution St, Havre De Grace, MD 21078-3320 Ph: () - | Allison Rosales, 626 Revolution St, Havre De Grace, MD 21078-3320 Ph: (410) 939-8744 |
Ms. Elizabeth Claire Ptak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 Fax: 410-939-8748 | |
Kelly Bragg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Vera Alice De Toledo-powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Janna Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Keri Seitler, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Kami Thekla Procopio, CRC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 |