Boni J Probasco, LPCC | |
220 E Walnut St, Lancaster, OH 43130-4464 | |
(740) 277-6043 | |
Not Available |
Full Name | Boni J Probasco |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 220 E Walnut St, Lancaster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811403579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.0700425 (Ohio) | Primary |
Entity Name | Fairfield Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457676736 PECOS PAC ID: 9133316805 Enrollment ID: O20101207000618 |
Mailing Address | Practice Location Address |
---|---|
Boni J Probasco, LPCC 220 E Walnut St, Lancaster, OH 43130-4464 Ph: (740) 277-6043 | Boni J Probasco, LPCC 220 E Walnut St, Lancaster, OH 43130-4464 Ph: (740) 277-6043 |
Stephanie Simons, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Sheridan Dr Ste 302, Lancaster, OH 43130 Phone: 740-901-3046 | |
Dawn Louise Mccoy, L.I.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 123 S Broad St, Lancaster, OH 43130 Phone: 740-438-2946 | |
Ms. Anita J Matheny, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1856 Cedar Hill Road, Lancaster, OH 43130 Phone: 740-687-4500 Fax: 740-687-4595 | |
Ann Knecht, M.S., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 624 E Main St, Lancaster, OH 43130 Phone: 740-687-0042 Fax: 740-687-6677 | |
Mary E Wiseman, CDCA, SWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Broad St Ste 209, Lancaster, OH 43130 Phone: 440-260-8300 Fax: 440-260-8575 | |
Kristen Deye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 E Main St, Lancaster, OH 43130 Phone: 740-687-0042 Fax: 740-687-6677 | |
Lacey Carrel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Columbus St, Lancaster, OH 43130 Phone: 740-687-4500 |