MEDICARE: REBECCA HANEY NCC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1043192362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA HANEY NCC

Provider Business Mailing Address
First Line	:	227 N 2ND AVE APT A
Second Line	:
City	:	ELIZABETH
State	:	PA
Zip	:	15037-1534
Country	:	US
Telephone Number	:	724-797-2259
Fax Number	:

Provider Business Practice Location Address
First Line	:	8958 HILL DR
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-755-3020
Fax Number	:

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

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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