MEDICARE: CHANCE KOLHMEYER

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	101YP2500X	Professional Counselor	PC017713	PA
2	101Y00000X	Counselor	PC017713	PA
3	101YP2500X	Professional Counselor		PA

General Provider Information

NPI Number	:	1033822713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANCE KOLHMEYER

Provider Business Mailing Address
First Line	:	1675 ROUTE 228 # 1040
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5307
Country	:	US
Telephone Number	:	412-444-5134
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 ROUTE 228 # 1040
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5307
Country	:	US
Telephone Number	:	412-444-5134
Fax Number	:

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

Provider Enumeration Date	:	12/28/2022
Last Update Date	:	12/19/2025

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Directions to “ CHANCE KOLHMEYER ” Practice Location

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