MEDICARE: HEATHER ANN WENDEKIER THERAPIST

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

General Provider Information

NPI Number	:	1427514546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN WENDEKIER THERAPIST

Provider Business Mailing Address
First Line	:	100 ASPEN LN
Second Line	:
City	:	PATTON
State	:	PA
Zip	:	16668-7712
Country	:	US
Telephone Number	:	814-242-1188
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 CAMBRIA ST
Second Line	:
City	:	PORTAGE
State	:	PA
Zip	:	15946-1700
Country	:	US
Telephone Number	:	814-509-8110
Fax Number	:

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

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	02/27/2024

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