| Andrea Bontrager Counseling, Llc | |
|
313 S 3rd St Goshen IN 46526-3709 | |
| (574) 535-0880 | |
| (574) 535-0882 |
| Full Name | Andrea Bontrager Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 313 S 3rd St, Goshen, Indiana |
| Authorized Official Name and Position | Andrea Joan Bontrager (CEO) |
| Authorized Official Contact | 5749711246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Bontrager Counseling, Llc 17 Fairfield Park Goshen IN 46526-1518 Ph: (574) 971-1246 | Andrea Bontrager Counseling, Llc 313 S 3rd St Goshen IN 46526-3709 Ph: (574) 535-0880 |
| NPI Number | 1972322402 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 7012441694 |
|---|---|
| Medicare Enrollment ID | O20241106000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972322402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andrea J Bontrager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801177134 PECOS PAC ID: 9234358060 Enrollment ID: I20140910000468 |
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