| Kristina Peary Llc | |
|
602 Church St Honesdale PA 18431-1864 | |
| (570) 493-0463 | |
| (570) 253-4707 |
| Full Name | Kristina Peary Llc |
|---|---|
| Speciality | Counselor |
| Location | 602 Church St, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Kristina Peary (OWNER) |
| Authorized Official Contact | 5704930463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Peary Llc 245 Ridge St Honesdale PA 18431-1622 Ph: (570) 493-0463 | Kristina Peary Llc 602 Church St Honesdale PA 18431-1864 Ph: (570) 493-0463 |
| NPI Number | 1033940150 |
|---|---|
| Provider Enumeration Date | 08/10/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 1456888577 |
|---|---|
| Medicare Enrollment ID | O20241231000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033940150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kristina Nicole Peary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083072532 PECOS PAC ID: 0749627883 Enrollment ID: I20240325001891 |
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