| Brian J Leskovac | |
|
1961 Shenango Valley Fwy Lowr Level Hermitage PA 16148-2501 | |
| (717) 862-5956 | |
| Not Available |
| Full Name | Brian J Leskovac |
|---|---|
| Speciality | Counselor |
| Location | 1961 Shenango Valley Fwy Lowr Level, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Brian Leskovac (OWNER) |
| Authorized Official Contact | 7178625956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Leskovac 1961 Shenango Valley Fwy Lowr Level Hermitage PA 16148-2501 Ph: (717) 862-5956 | Brian J Leskovac 1961 Shenango Valley Fwy Lowr Level Hermitage PA 16148-2501 Ph: (717) 862-5956 |
| NPI Number | 1417788795 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 6709326051 |
|---|---|
| Medicare Enrollment ID | O20240912003384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417788795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Brian Jason Leskovac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003345596 PECOS PAC ID: 3971043225 Enrollment ID: I20240912003635 |
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