Gabrielle Elyse Kull, | |
638 Ferndale Ave, Johnstown, PA 15905-3946 | |
(814) 288-4961 | |
(814) 288-3904 |
Full Name | Gabrielle Elyse Kull |
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Gender | Female |
Speciality | Counselor |
Location | 638 Ferndale Ave, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710534193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Victim Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174914717 PECOS PAC ID: 7113287152 Enrollment ID: O20180212002072 |
Mailing Address | Practice Location Address |
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Gabrielle Elyse Kull, 638 Ferndale Ave, Johnstown, PA 15905-3946 Ph: (814) 288-4961 | Gabrielle Elyse Kull, 638 Ferndale Ave, Johnstown, PA 15905-3946 Ph: (814) 288-4961 |
Corey Larue, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
William Martin O'herrick, BSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 | |
Christine Mary Charney, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-534-0745 Fax: 814-536-5431 | |
Tammy Zeek, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
Zita Burnheimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 188 Gilbert St, Johnstown, PA 15906 Phone: 814-539-7339 Fax: 814-535-2219 | |
Jennifer Theresa Stevens, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 Fax: 814-539-0475 | |
Neha Rajan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 |