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249 E 3rd St Waterford PA 16441-9753 | |
| (814) 796-6251 | |
| (814) 796-4037 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 249 E 3rd St, Waterford, Pennsylvania |
| Authorized Official Name and Position | Anne Marie Hull (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8148736331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
249 E 3rd St Waterford PA 16441-9753 Ph: (814) 796-6251 | 249 E 3rd St Waterford PA 16441-9753 Ph: (814) 796-6251 |
| NPI Number | 1659670172 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 0941748800 |
|---|---|
| Medicare Enrollment ID | O20240812000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659670172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC005194 (Pennsylvania) | Primary |
| Provider Name | Anne Marie Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619106168 PECOS PAC ID: 4688979693 Enrollment ID: I20240812000061 |
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