Sajeda M Bhallo, M.S., CAC
Individual provider Active NPI Professional Counselor · Sellersville, PA
NPI 1922019835 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1922019835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC011376 (PA)
- Practice address
- 807 Lawn Ave
Sellersville, PA 18960-1549 - Phone
- (215) 257-6551
- Fax
- (215) 453-5181
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4507 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC011376 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4507 | PA | |
| Professional Counselor | 101YP2500X | PC011376 | PA | Yes |
Addresses
Primary practice location
807 Lawn Ave
Sellersville, PA 18960-1549
Mailing address
1728 W Jonathan St Ste 200
Allentown, PA 18104-3170
Phone (610) 938-1898
Other providers in Sellersville, PA
- Shibin Benjamin
- Radhika Patel Bera
- Amanda P Berg
- Michele L Bernstein
- Abigail Bezar
- Catherine Victoria Bianco
- Ashley Bittner
- Colleen M Blaker
- Mallory E Bobb
- Grace Annabel Bodner
All providers in Sellersville, PA · Professional 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 Sep 9, 2022. 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.