| Jacqualine Polydoros, LCPC | |
|
322 E Antietam St Ste 101, Hagerstown, MD 21740-5736 | |
| (301) 733-2431 | |
| Not Available |
| Full Name | Jacqualine Polydoros |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 322 E Antietam St Ste 101, Hagerstown, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396349379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC16950 (Maryland) | 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: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqualine Polydoros, LCPC 20115 Professional Blvd Ste 203, Hagerstown, MD 21742-6832 Ph: (866) 287-2036 | Jacqualine Polydoros, LCPC 322 E Antietam St Ste 101, Hagerstown, MD 21740-5736 Ph: (301) 733-2431 |
Mr. William Thomas Menter, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3386 Fax: 240-313-3316 |
April D Lehman, L.G.P.C. Counselor Medicare: Accepting Medicare Assignments Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3291 Fax: 240-313-3239 |
Brittany Horchner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 E Antietam St Ste 307a, Hagerstown, MD 21740 Phone: 240-513-6127 |
Ryann Fiery, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Burhans Blvd, Hagerstown, MD 21740 Phone: 301-791-2660 |
Allen L Twigg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702 |
Mrs. Georgette Geraldine Hughes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0331 Fax: 301-733-4038 |
Brittany Kuhn, LGPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq Ste 205, Hagerstown, MD 21740 Phone: 240-724-1437 |