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NPI Code Detail

MEDICARE: KAYLA NICOLE HODECKER MS

MEDICARE: KAYLA NICOLE HODECKER 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1881346716
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA NICOLE HODECKER MS
Provider Business Mailing Address
First Line : 212 W MARKET ST
Second Line :
City : POTTSVILLE
State : PA
Zip : 17901-2965
Country : US
Telephone Number : 717-304-2631
Fax Number :
Provider Business Practice Location Address
First Line : 746 CUMBERLAND ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-5236
Country : US
Telephone Number : 717-304-2631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 01/21/2022

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Directions to “ KAYLA NICOLE HODECKER MS” Practice Location

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