Vanessa Lynn Hagen, LPC | |
140 W Penn Ave Ste 2, Robesonia, PA 19551-1504 | |
(610) 750-9135 | |
(610) 644-6431 |
Full Name | Vanessa Lynn Hagen |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 140 W Penn Ave Ste 2, Robesonia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336407055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC006184 (Pennsylvania) | Primary |
Entity Name | Furnace Creek Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952804023 PECOS PAC ID: 5092067157 Enrollment ID: O20181018000024 |
Mailing Address | Practice Location Address |
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Vanessa Lynn Hagen, LPC 140 W Penn Ave Ste 2, Robesonia, PA 19551-1504 Ph: (610) 750-9135 | Vanessa Lynn Hagen, LPC 140 W Penn Ave Ste 2, Robesonia, PA 19551-1504 Ph: (610) 750-9135 |
Diane Alexis Corey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 W Penn Ave, Robesonia, PA 19551 Phone: 484-797-1372 | |
Tatiana Alvarez-thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 W Penn Ave Ste 2, Robesonia, PA 19551 Phone: 610-750-9135 | |
Don W Swartz, M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 140 W Penn Ave Ste 2, Robesonia, PA 19551 Phone: 610-750-9135 Fax: 610-644-6431 | |
Regina Louise Shawley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 W Penn Ave Ste 2, Robesonia, PA 19551 Phone: 610-750-9135 |