| Ms Hillary Rebekka Edris, MA, LPC | |
| 1 W Main St, Fleetwood, PA 19522-1323 | |
| (610) 944-0445 | |
| (610) 944-8834 | 
| Full Name | Ms Hillary Rebekka Edris | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 1 W Main St, Fleetwood, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740739101 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC005340 (Pennsylvania) | Primary | 
| Entity Name | Furnace Creek Counseling Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952804023 PECOS PAC ID: 5092067157 Enrollment ID: O20181018000024 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Hillary Rebekka Edris, MA, LPC 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 | Ms Hillary Rebekka Edris, MA, LPC 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 | 
| Louise Jacques,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
| Jill Wynne Sober, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-24 N. Franklin St, Fleetwood, PA 19522 Phone: 610-944-0445 Fax: 610-944-1196 | |
| Ms. Jocelyne Resendiz, LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-24 N. Franklin Street, Fleetwood, PA 19522 Phone: 610-944-0445 Fax: 610-944-1196 | |
| Nicole Ann Kacmar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
| Gregory Moyer, M.A., L.P.C., L.M.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-8744 | |
| Crystal Rauenzahn, ED.D, BSL Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
| Suellen Lovell Ketterer, MA Counselor Medicare: Medicare Enrolled Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 |