MEDICARE: KATHLEEN HOAGLAND COUNSELING AND CONSULTING, LLC

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	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PC009213	OTHER	PA	LPC

General Provider Information

NPI Number	:	1639806250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN HOAGLAND COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	1320 ABINGTON WAY
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-7306
Country	:	US
Telephone Number	:	717-220-3784
Fax Number	:

Provider Business Practice Location Address
First Line	:	2331 MARKET ST FL 3
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-4607
Country	:	US
Telephone Number	:	717-220-3784
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHLEEN HOAGLAND
Credential	:	LPC
Telephone Number	:	717-220-3784

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	08/03/2022

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