Tracy Jensen, LPC | |
1300 Old Plank Rd, Mayfield, PA 18433-1973 | |
(570) 281-6222 | |
Not Available |
Full Name | Tracy Jensen |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1300 Old Plank Rd, Mayfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144096751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC016403 (Pennsylvania) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | B-k Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619352978 PECOS PAC ID: 8921091745 Enrollment ID: O20040407000467 |
Mailing Address | Practice Location Address |
---|---|
Tracy Jensen, LPC 429 Hemlock St, Jermyn, PA 18433-1205 Ph: (814) 232-7112 | Tracy Jensen, LPC 1300 Old Plank Rd, Mayfield, PA 18433-1973 Ph: (570) 281-6222 |
Courtney Zukoski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-878-3833 | |
Nicole Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-281-6222 | |
Magdalena Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-281-6222 | |
Jillian P Gratz, MA, NCC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd Ste 800, Mayfield, PA 18433 Phone: 570-878-3833 | |
Linde Mcdonough, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-281-6222 | |
Erin Mcgrady, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-285-5049 |