Kayla Rae Gongloff, LPC | |
1310 Valley View Blvd, Altoona, PA 16602-6080 | |
(814) 944-9970 | |
(814) 201-2960 |
Full Name | Kayla Rae Gongloff |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1310 Valley View Blvd, Altoona, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942989215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC015899 (Pennsylvania) | Primary |
Entity Name | Pathways Human Services Of Pennsylvania, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043822208 PECOS PAC ID: 0941610091 Enrollment ID: O20201102000972 |
Mailing Address | Practice Location Address |
---|---|
Kayla Rae Gongloff, LPC 1310 Valley View Blvd, Altoona, PA 16602-6080 Ph: (814) 944-9970 | Kayla Rae Gongloff, LPC 1310 Valley View Blvd, Altoona, PA 16602-6080 Ph: (814) 944-9970 |
Mrs. Susan H Adams, BS CCDP BPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414 | |
Heather Ann Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-940-7473 | |
Dr. James Robert Brady, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Lakemont Blvd., Altoona, PA 16602 Phone: 814-942-9999 Fax: 814-942-9999 | |
Kelli Nichole Corl, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9725 | |
Mrs. Brenda Eileen Simmons, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9425 | |
Mrs. Susan E. Friedenberger, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Lakemont Park Blvd, Suite 100, Altoona, PA 16602 Phone: 814-946-5411 Fax: 814-569-1189 | |
Jamie Alyssa Focht, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414 |