MEDICARE: OLIMA OCHILBOEVNA YEAGER MA,LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC019266	PA

General Provider Information

NPI Number	:	1629949995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIMA OCHILBOEVNA YEAGER MA,LPC

Provider Business Mailing Address
First Line	:	106 RITTSWOOD DR
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2139
Country	:	US
Telephone Number	:	724-256-6891
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 RITTSWOOD DR
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2139
Country	:	US
Telephone Number	:	724-256-6891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	01/20/2026

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