Krystin Devine, MS, NCC, LPC | |
270 Susquehanna Valley Mall Dr Ste 100, Selinsgrove, PA 17870-9115 | |
(570) 768-4441 | |
(570) 768-4195 |
Full Name | Krystin Devine |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 270 Susquehanna Valley Mall Dr Ste 100, Selinsgrove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649720020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC009196 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC009196 (Pennsylvania) | Primary |
Entity Name | Family Practice Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
Krystin Devine, MS, NCC, LPC 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Krystin Devine, MS, NCC, LPC 270 Susquehanna Valley Mall Dr Ste 100, Selinsgrove, PA 17870-9115 Ph: (570) 768-4441 |
Ms. Cheryl L Stumpf, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 S Market St Ste 6, Selinsgrove, PA 17870 Phone: 570-850-4854 | |
James R Meadows, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1372 N Susquehanna Trl, Suite 330, Selinsgrove, PA 17870 Phone: 570-394-6656 | |
Susan Romaine Decker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 270 Susquehanna Valley Mall Dr Ste 100, Selinsgrove, PA 17870 Phone: 708-847-9225 Fax: 570-768-4195 | |
Mr. Randel M Forbes Jr., MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Snyder St Ste 2, Selinsgrove, PA 17870 Phone: 570-809-4235 | |
Ms. Melissa Frame, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1372 N Susquehanna Trl Ste 330, Selinsgrove, PA 17870 Phone: 570-743-2323 | |
Ms. Erin Lea Goedegebuure, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1372 N Susquehanna Trl, Selinsgrove, PA 17870 Phone: 570-743-2323 |