Jessica Rae Conrad, LPC | |
781 Far Hills Dr, New Freedom, PA 17349-8447 | |
(717) 812-2560 | |
Not Available |
Full Name | Jessica Rae Conrad |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 781 Far Hills Dr, New Freedom, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093483273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC013195 (Pennsylvania) | Primary |
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Jessica Rae Conrad, LPC 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Jessica Rae Conrad, LPC 781 Far Hills Dr, New Freedom, PA 17349-8447 Ph: (717) 812-2560 |
Crystal Derose, Counselor Medicare: Medicare Enrolled Practice Location: 781 Far Hills Dr Ste 600, New Freedom, PA 17349 Phone: 717-812-2560 Fax: 717-812-2569 | |
Mary Collette Parks, LBS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 781 Far Hills Dr Ste 600, New Freedom, PA 17349 Phone: 717-812-2560 Fax: 717-812-2569 | |
Ms. Holly R Wade, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15394 Revere Dr, New Freedom, PA 17349 Phone: 443-904-2715 |