| Ashley Elizabeth Clevenstine, LPC, NCC, CAADC | |
|
716 Cambria St, Portage, PA 15946-1700 | |
| (814) 509-8110 | |
| Not Available |
| Full Name | Ashley Elizabeth Clevenstine |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 716 Cambria St, Portage, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518746239 | NPI | - | NPPES |
| Entity Name | Cleanslate Medical Group Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184177263 PECOS PAC ID: 8426334400 Enrollment ID: O20170405000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Elizabeth Clevenstine, LPC, NCC, CAADC 716 Cambria St, Portage, PA 15946-1700 Ph: (814) 509-8110 | Ashley Elizabeth Clevenstine, LPC, NCC, CAADC 716 Cambria St, Portage, PA 15946-1700 Ph: (814) 509-8110 |
Thyra Ann Jacobs, MA, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Cambria St, Portage, PA 15946 Phone: 814-509-8110 | |
Miss Tonya Lynn Swinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Popish Road, Portage, PA 15946 Phone: 814-244-8601 | |
Heather Ann Wendekier, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Cambria St, Portage, PA 15946 Phone: 814-509-8110 | |
Mr. Nedward B;aine Moore Iii, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Plane Rd, Portage, PA 15946 Phone: 814-736-9700 | |
Mr. Matthew David Bilchak, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Jefferson Ave, Portage, PA 15946 Phone: 814-341-4648 |