Brooke Kaefer-daum, | |
331 Shaw Ave, Mckeesport, PA 15132-2918 | |
(412) 675-6498 | |
Not Available |
Full Name | Brooke Kaefer-daum |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 331 Shaw Ave, Mckeesport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477061174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Mon Yough Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669478764 PECOS PAC ID: 4385638519 Enrollment ID: O20040412000888 |
Mailing Address | Practice Location Address |
---|---|
Brooke Kaefer-daum, 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 Ph: (412) 675-6498 | Brooke Kaefer-daum, 331 Shaw Ave, Mckeesport, PA 15132-2918 Ph: (412) 675-6498 |
Anitra Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Shaw Ave, 2nd Fl, Mckeesport, PA 15132 Phone: 412-675-8533 Fax: 412-675-8920 | |
Angel Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Walnut St Fl 1, Mckeesport, PA 15132 Phone: 412-675-8530 Fax: 412-675-8920 | |
Noel Elyse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Walnut St, Mckeesport, PA 15132 Phone: 412-675-8530 Fax: 412-675-8920 | |
Mr. George White, MSCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Shaw Ave, Mckeesport, PA 15132 Phone: 215-756-1734 | |
Shelby Zaya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Walnut St, Mckeesport, PA 15132 Phone: 412-675-8533 Fax: 412-675-8920 | |
Lauren E Webster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Shaw Ave, Mckeesport, PA 15132 Phone: 412-675-8533 Fax: 412-675-8920 | |
Danekqua Danielle Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Walnut St, Mckeesport, PA 15132 Phone: 412-675-6927 |