Peter Ellison, LPC, CCDP-D | |
217 Franklin Ave Ste 106, Palmerton, PA 18071-1521 | |
(610) 826-2320 | |
Not Available |
Full Name | Peter Ellison |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 217 Franklin Ave Ste 106, Palmerton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831646066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC008997 (Pennsylvania) | Primary |
Entity Name | Nulton Diagnostic &treatment Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 |
Mailing Address | Practice Location Address |
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Peter Ellison, LPC, CCDP-D 217 Franklin Ave Ste 106, Palmerton, PA 18071-1521 Ph: (610) 826-2320 | Peter Ellison, LPC, CCDP-D 217 Franklin Ave Ste 106, Palmerton, PA 18071-1521 Ph: (610) 826-2320 |
Mr. Paul Michael Pontoski, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Forest Inn, Palmerton, PA 18071 Phone: 610-824-2404 | |
Miss Brooke Erin Neff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3295 Forest Inn Rd, Suite 3, Palmerton, PA 18071 Phone: 855-826-8482 Fax: 855-826-8483 | |
Lybi Nicole Westover, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3795 Fireline Rd, Palmerton, PA 18071 Phone: 570-790-1991 | |
Tiffani M Young, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 576 Franklin Ave, Palmerton, PA 18071 Phone: 484-860-0069 | |
Mark Akers, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Pine St, Palmerton, PA 18071 Phone: 610-714-9834 |