| Cesymer Olivares, MA | |
|
250 Mickley Run Apt D, Whitehall, PA 18052-7909 | |
| (347) 908-2540 | |
| Not Available |
| Full Name | Cesymer Olivares |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 250 Mickley Run Apt D, Whitehall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518781301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC017780 (Pennsylvania) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Cesymer Olivares, MA 250 Mickley Run Apt D, Whitehall, PA 18052-7909 Ph: () - | Cesymer Olivares, MA 250 Mickley Run Apt D, Whitehall, PA 18052-7909 Ph: (347) 908-2540 |
Richard Emmett Laduke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2531 Halleck Dr, Whitehall, PA 18052 Phone: 610-349-3466 | |
Mr. Kenneth Charles Fulton-resig, MS, LPC,LBS, NCC Counselor Medicare: Medicare Enrolled Practice Location: 4772 Main Street, Whitehall, PA 18052 Phone: 412-445-6050 | |
Nicole Anne Polzer-grieco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3022 S 5th Ave, Whitehall, PA 18052 Phone: 610-657-1777 | |
Ellisha Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1988 Sunset Dr, Whitehall, PA 18052 Phone: 484-505-6056 | |
Mr. Jacob Peter Molchany, M.ED., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5543 Hillside Ave, Whitehall, PA 18052 Phone: 484-554-3040 |