Brittany Bahner, BS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kingston, PA
NPI 1609172170 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1609172170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 562 Wyoming Ave
Kingston, PA 18704-3721 - Phone
- (570) 552-3700
- Fax
- (570) 552-3706
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
562 Wyoming Ave
Kingston, PA 18704-3721
Mailing address
562 Wyoming Ave
Kingston, PA 18704-3721
Phone (570) 552-3700
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- Kelsey Marie Banfield
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All providers in Kingston, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.