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NPI Code Detail

MEDICARE: MARLENE S OLEKSAK LGPC

MEDICARE: MARLENE S OLEKSAK LGPC
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
1101YP2500XProfessional CounselorLGP10251MD

General Provider Information

NPI Number : 1215542709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE S OLEKSAK LGPC
Provider Business Mailing Address
First Line : 205 COLONIAL HEIGHTS DR
Second Line :
City : FORT ASHBY
State : WV
Zip : 26719-6896
Country : US
Telephone Number : 573-380-5623
Fax Number :
Provider Business Practice Location Address
First Line : 519 N MECHANIC ST
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2133
Country : US
Telephone Number : 240-362-7439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 09/10/2020

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Directions to “ MARLENE S OLEKSAK LGPC” Practice Location

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