MEDICARE: AARON KETELES MSED, MA, DMIN, LAPC

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	PC018835	PA

General Provider Information

NPI Number	:	1902649312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON KETELES MSED, MA, DMIN, LAPC

Provider Business Mailing Address
First Line	:	22 WESTVIEW DR
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-1241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 WESTVIEW DR
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-1241
Country	:	US
Telephone Number	:	724-461-5816
Fax Number	:

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

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/20/2025

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