Provider Demographics
NPI:1275627259
Name:CHERNESKY HOLLAND, ROSEMARIE YVONNE (LPC)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:YVONNE
Last Name:CHERNESKY HOLLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ANDERSONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6010
Mailing Address - Country:US
Mailing Address - Phone:717-805-1564
Mailing Address - Fax:717-796-7060
Practice Address - Street 1:1100 ANDERSONTOWN RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6010
Practice Address - Country:US
Practice Address - Phone:717-805-1564
Practice Address - Fax:717-796-7060
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50058742OtherCAPITAL BLUE CROSS