MEDICARE: MS. XENIA JOHANNA DUBISCHAR MS, 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	101YP2500X	Professional Counselor	PC018042	PA

General Provider Information

NPI Number	:	1295549822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. XENIA JOHANNA DUBISCHAR MS, LPC

Provider Business Mailing Address
First Line	:	2601 PENNSYLVANIA AVE APT 1029
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2343
Country	:	US
Telephone Number	:	484-895-5825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 VIRGINIA DR
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-3221
Country	:	US
Telephone Number	:	484-202-0751
Fax Number	:

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

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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