Rachael A Van Tassel, LPC, ATR-BC | |
30-32 N Main St, Carbondale, PA 18407-2304 | |
(570) 282-1732 | |
Not Available |
Full Name | Rachael A Van Tassel |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 30-32 N Main St, Carbondale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730660655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC010610 (Pennsylvania) | Primary |
Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
Mailing Address | Practice Location Address |
---|---|
Rachael A Van Tassel, LPC, ATR-BC 11427 Forest Lake Rd, Montrose, PA 18801-8744 Ph: (607) 222-4184 | Rachael A Van Tassel, LPC, ATR-BC 30-32 N Main St, Carbondale, PA 18407-2304 Ph: (570) 282-1732 |
Kimberly Shahoney, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 Salem Ave Ste 104, Carbondale, PA 18407 Phone: 570-766-0171 | |
Evan James Maclusky, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 30-32 N Main St, Carbondale, PA 18407 Phone: 570-282-1732 Fax: 570-282-6805 | |
Ms. Shirley A Gardner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Fallbrook St, Carbondale, PA 18407 Phone: 570-282-1732 Fax: 570-282-6529 | |
Ashley Ettinger, MS, LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 North Scott Road, Carbondale, PA 18407 Phone: 570-281-6340 | |
Mrs. Joan Roche, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Fallbrook St, Carbondale, PA 18407 Phone: 570-282-1732 Fax: 570-282-6805 | |
Jodi Stearns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30-32 N Main St, Carbondale, PA 18407 Phone: 570-282-1732 Fax: 570-282-6805 | |
Mr. Aaron Best, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Terrace St, Carbondale, PA 18407 Phone: 724-494-7014 |