| Mr Kenneth Vincent Bascom Jr, MA | |
|
1855 Fair Ave, Honesdale, PA 18431-2121 | |
| (570) 253-3980 | |
| (570) 253-3982 |
| Full Name | Mr Kenneth Vincent Bascom Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1855 Fair Ave, Honesdale, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861048159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 647010 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Vincent Bascom Jr, MA 151 Warner Rd, North Branch, NY 12766-5045 Ph: (845) 482-5080 | Mr Kenneth Vincent Bascom Jr, MA 1855 Fair Ave, Honesdale, PA 18431-2121 Ph: (570) 253-3980 |
Kristina Nicole Peary, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 602 Church St, Honesdale, PA 18431 Phone: 570-253-6621 Fax: 570-253-4707 | |
Timothy Gladson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 600 Maple Ave Ste 15, Honesdale, PA 18431 Phone: 570-253-8219 | |
Susan Martha Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Commercial St Suites G & H, Honesdale, PA 18431 Phone: 570-352-4997 | |
Ms. Amanda Leigh Vitali, LPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Spinner Rd, Honesdale, PA 18431 Phone: 570-253-9323 | |
Brittney Tunilo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Main St Ste 303, Honesdale, PA 18431 Phone: 570-504-2697 | |
Karin A Fils Aime, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Church St, Honesdale, PA 18431 Phone: 570-253-0321 Fax: 570-253-5990 | |
Ms. Susan Samek, LCAT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 922 Church St Ste 3, Honesdale, PA 18431 Phone: 516-528-8839 |