MEDICARE: HILARY LYNN ZURBUCH MS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor	006192	PA

General Provider Information

NPI Number	:	1629215421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY LYNN ZURBUCH MS

Provider Business Mailing Address
First Line	:	PO BOX 5545
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-0545
Country	:	US
Telephone Number	:	724-457-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 BEAVER GRADE RD
Second Line	:
City	:	MOON TOWNSHIP
State	:	PA
Zip	:	15108-2653
Country	:	US
Telephone Number	:	724-457-0858
Fax Number	:

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

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	02/12/2013

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