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NPI Code Detail

MEDICARE: MRS. JODY ELLEN VERNAM LPC

MEDICARE:  MRS. JODY ELLEN VERNAM  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
1101Y00000XCounselorPC004344PA
2101YP2500XProfessional CounselorPC004344PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21973158OTHERPAHIGHMARK

General Provider Information

NPI Number : 1427194398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODY ELLEN VERNAM LPC
Provider Business Mailing Address
First Line : 1184 SPRINGFIELD CHURCH RD
Second Line :
City : JACKSON CENTER
State : PA
Zip : 16133-2210
Country : US
Telephone Number : 724-866-8033
Fax Number :
Provider Business Practice Location Address
First Line : 1184 SPRINGFIELD CHURCH RD
Second Line :
City : JACKSON CENTER
State : PA
Zip : 16133-2210
Country : US
Telephone Number : 724-866-8033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 11/08/2024

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Directions to “ MRS. JODY ELLEN VERNAM LPC” Practice Location

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