MEDICARE: JODI-LYNN ABBEY-HINES MA

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	PC002775	PA

General Provider Information

NPI Number	:	1386065167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI-LYNN ABBEY-HINES MA

Provider Business Mailing Address
First Line	:	101 PEMBROKE CT
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-6404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 HUMMEL BLVD
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-6134
Country	:	US
Telephone Number	:	247-612-3217
Fax Number	:	724-764-4556

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

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	01/06/2020

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