| Stefani Penatzer, LPC | |
|
119 Walnut St, Johnstown, PA 15901-1625 | |
| (814) 534-0745 | |
| Not Available |
| Full Name | Stefani Penatzer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 119 Walnut St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255716486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Alternative Community Resource Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942398839 PECOS PAC ID: 0244277234 Enrollment ID: O20050412000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefani Penatzer, LPC 119 Walnut St, Johnstown, PA 15901-1625 Ph: () - | Stefani Penatzer, LPC 119 Walnut St, Johnstown, PA 15901-1625 Ph: (814) 534-0745 |
Corey Larue, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
William Martin O'herrick, BSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 | |
Christine Mary Charney, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-534-0745 Fax: 814-536-5431 | |
Tammy Zeek, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
Zita Burnheimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 188 Gilbert St, Johnstown, PA 15906 Phone: 814-539-7339 Fax: 814-535-2219 | |
Jennifer Theresa Stevens, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 Fax: 814-539-0475 | |
Kierra Pratt, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 188 Gilbert St, Johnstown, PA 15906 Phone: 814-539-7339 |