Ivan Vega Pacheco, LPC | |
900 N 6th St, Harrisburg, PA 17102-1703 | |
(717) 233-4027 | |
(717) 233-4047 |
Full Name | Ivan Vega Pacheco |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 900 N 6th St, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932805090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | PC015320 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC015320 (Pennsylvania) | Primary |
Entity Name | T.w. Ponessa & Associates Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053341859 PECOS PAC ID: 7810991924 Enrollment ID: O20071004000024 |
Mailing Address | Practice Location Address |
---|---|
Ivan Vega Pacheco, LPC 410 N Prince St, Lancaster, PA 17603-3010 Ph: (717) 560-7917 | Ivan Vega Pacheco, LPC 900 N 6th St, Harrisburg, PA 17102-1703 Ph: (717) 233-4027 |
Mr. Ronald Kent Wolf, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 S Cameron St, Harrisburg, PA 17104 Phone: 717-238-7662 Fax: 717-238-7894 | |
Matthew Fox, CCJP Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 S Cameron St, Harrisburg, PA 17101 Phone: 717-233-7290 Fax: 717-233-5334 | |
Jessica Marie Eichelberger, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4802 Peterborough Rd, Harrisburg, PA 17109 Phone: 814-470-3718 Fax: 717-831-0075 | |
Brianna Kilgore, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 S 41st St, Harrisburg, PA 17111 Phone: 717-963-7666 | |
Samuel Watkins, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Schuylkill St, Harrisburg, PA 17110 Phone: 814-244-6725 | |
Nicol Yvette Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3601 N Progress Ave, Harrisburg, PA 17110 Phone: 717-233-7290 Fax: 171-810-1841 | |
Denise Lynn Verchimak, MA, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Jonagold Dr, Harrisburg, PA 17110 Phone: 717-350-0123 |