MEDICARE: MRS. ABBIE M FLINNER MACC, LPC, HS-BCP

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	PC005706	PA

General Provider Information

NPI Number	:	1942573514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABBIE M FLINNER MACC, LPC, HS-BCP

Provider Business Mailing Address
First Line	:	3070 WILLIAM FLYNN HWY
Second Line	:
City	:	SLIPPERY ROCK
State	:	PA
Zip	:	16057-5038
Country	:	US
Telephone Number	:	724-794-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1530
Country	:	US
Telephone Number	:	724-652-2323
Fax Number	:

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

Provider Enumeration Date	:	02/13/2012
Last Update Date	:	02/13/2012

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