Jillian Knecht, LPC | |
1385 Pocono Blvd, Mount Pocono, PA 18344-1678 | |
(570) 972-5578 | |
Not Available |
Full Name | Jillian Knecht |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1385 Pocono Blvd, Mount Pocono, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659905990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC012113 (Pennsylvania) | Primary |
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 |
---|---|
Jillian Knecht, LPC 1385 Pocono Blvd, Mount Pocono, PA 18344-1678 Ph: (570) 972-5578 | Jillian Knecht, LPC 1385 Pocono Blvd, Mount Pocono, PA 18344-1678 Ph: (570) 972-5578 |
Sara Zegalia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-421-3600 | |
Elizabeth Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-243-8787 | |
Nicole Rook, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-460-7704 | |
Dr. David Peeair Phillips, MCC, EDD, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1187 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-242-5098 | |
Vanessa Frasier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-460-4379 | |
Dr. Margurita M Carter, MDIV, PHD, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1187 Pocono Blvd, Mount Pocono, PA 18344 Phone: 347-486-0582 | |
Chyna Laney Smith, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 Pocono Blvd, Mount Pocono, PA 18344 Phone: 570-476-7704 |