Gina Hetrick, LPC | |
114 W Mahoning St, Punxsutawney, PA 15767-2017 | |
(814) 618-5829 | |
Not Available |
Full Name | Gina Hetrick |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 114 W Mahoning St, Punxsutawney, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982320719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC014984 (Pennsylvania) | Primary |
Entity Name | Waves Of Hope, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346936127 PECOS PAC ID: 1951742196 Enrollment ID: O20240518000060 |
Mailing Address | Practice Location Address |
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Gina Hetrick, LPC 80 Smiley Rd, Glen Campbell, PA 15742-8611 Ph: (181) 493-5901 | Gina Hetrick, LPC 114 W Mahoning St, Punxsutawney, PA 15767-2017 Ph: (814) 618-5829 |
Mrs. Danielle Marie Nelson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 Phone: 814-938-4444 | |
Mrs. Amanda Marie Rowland, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 Phone: 814-938-4444 | |
Barbara R. Schall, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnak Drive, Suite 103, Punxsutawney, PA 15767 Phone: 814-938-4444 Fax: 814-938-3313 | |
Ms. Tiffany J Dupont, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive, Punxsutawney, PA 15767 Phone: 814-938-4444 Fax: 814-938-3313 | |
Barbara B Elkin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21967 Route 119, Punxsutawney, PA 15767 Phone: 724-471-8171 Fax: 814-618-5930 | |
Melissa Kennis, MS Counselor Medicare: Medicare Enrolled Practice Location: 117 Elk Run Ave, Punxsutawney, PA 15767 Phone: 814-938-6340 | |
Mrs. Nancy Craft, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Dr, Punxsutawney, PA 15767 Phone: 814-938-3310 Fax: 814-938-6804 |