White Deer Run At Blue Mountain | |
8284 Leaser Road Kempton PA 19529 | |
(610) 756-4023 | |
Not Available |
Full Name | White Deer Run At Blue Mountain |
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Speciality | Community/behavioral Health |
Location | 8284 Leaser Road, Kempton, Pennsylvania |
Authorized Official Name and Position | Christopher Howard (VICE PRESIDENT AND SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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White Deer Run At Blue Mountain Po Box 199 Kempton PA 19529-0199 Ph: (610) 756-4023 | White Deer Run At Blue Mountain 8284 Leaser Road Kempton PA 19529 Ph: (610) 756-4023 |
NPI Number | 1649391319 |
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Provider Enumeration Date | 04/02/2007 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Identifier | Type | State | Issuer |
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1649391319 | NPI | - | NPPES |
1007567870068 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 397052 (Pennsylvania) | Secondary |
251S00000X | Community/behavioral Health | SS1960505 (Pennsylvania) | Primary |
Dr Allison Blechschmidt Clinical Psychologist Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9088 Airfield Ct, Kempton, PA 19529 Phone: 610-393-6639 |