Emily Wisti, | |
826 Delaware Ave, Fountain Hill, PA 18015-1174 | |
(610) 419-3101 | |
Not Available |
Full Name | Emily Wisti |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 826 Delaware Ave, Fountain Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568945491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Pennsylvania Counseling Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474979 PECOS PAC ID: 1355331471 Enrollment ID: O20040512001114 |
Mailing Address | Practice Location Address |
---|---|
Emily Wisti, 821 Delaware Ave, Fountain Hill, PA 18015-1179 Ph: (610) 419-3101 | Emily Wisti, 826 Delaware Ave, Fountain Hill, PA 18015-1174 Ph: (610) 419-3101 |
Jeremy Todd Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Deleware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 Fax: 610-419-3309 | |
Alicia Irma Denardo, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Krystal Mondillo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-417-0463 | |
Dara Mclean Schwartz, MA, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Mr. Robert Louis Pierfy Jr., MA, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Uriel Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Jenny Duval, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 |