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400 Locust Ave Washington PA 15301-3397 | |
| (724) 705-9238 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 400 Locust Ave, Washington, Pennsylvania |
| Authorized Official Name and Position | Jamie Christina Giovinali (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7247059238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
263 Lacock St Washington PA 15301-2431 Ph: (724) 705-9238 | 400 Locust Ave Washington PA 15301-3397 Ph: (724) 705-9238 |
| NPI Number | 1174236988 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Medicare PECOS PAC ID | 9032654132 |
|---|---|
| Medicare Enrollment ID | O20240712003017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174236988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sandra A Vujnovic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558387357 PECOS PAC ID: 5092729624 Enrollment ID: I20060202000427 |
| Provider Name | Erica Lenzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063041499 PECOS PAC ID: 5092128199 Enrollment ID: I20210111000894 |
| Provider Name | Andrea Spevetz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083231054 PECOS PAC ID: 9234580549 Enrollment ID: I20240111001776 |
| Provider Name | Sara Obringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376301465 PECOS PAC ID: 5294278560 Enrollment ID: I20240615000173 |
| Provider Name | Jamie Giovinali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669137345 PECOS PAC ID: 5496290595 Enrollment ID: I20240712003168 |
| Provider Name | Brian Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679288120 PECOS PAC ID: 7517403173 Enrollment ID: I20240719001567 |
| Provider Name | Bridgette Lauren Petras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265290613 PECOS PAC ID: 0648716258 Enrollment ID: I20241213001324 |
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