Mr Carlos Neftali Barahona, LPC | |
455 Main St, Peckville, PA 18452-2428 | |
(272) 207-0630 | |
Not Available |
Full Name | Mr Carlos Neftali Barahona |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 455 Main St, Peckville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649824301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Cnb Therapy Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790439685 PECOS PAC ID: 4284084377 Enrollment ID: O20240102003273 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlos Neftali Barahona, LPC 455 Main St, Peckville, PA 18452-2428 Ph: (570) 435-1915 | Mr Carlos Neftali Barahona, LPC 455 Main St, Peckville, PA 18452-2428 Ph: (272) 207-0630 |
Kayla Marie Smith, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 Main St, Peckville, PA 18452 Phone: 570-565-9222 Fax: 570-227-2008 | |
Mr. Chad John Anuszewski, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Hickory St, Peckville, PA 18452 Phone: 570-351-4264 | |
Alanna Shehadeh, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Carol Rd, Peckville, PA 18452 Phone: 610-703-2904 | |
Kate Mazurik, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1031 Main St, Peckville, PA 18452 Phone: 570-307-9037 Fax: 570-291-4960 | |
Mrs. Sarah Albright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 Main St, Peckville, PA 18452 Phone: 570-614-8717 |