| Northern Tier Counseling, Inc | |
|
24727 Route 6 Ste 2 Towanda PA 18848-8257 | |
| (570) 265-0100 | |
| (570) 265-6741 |
| Full Name | Northern Tier Counseling, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 24727 Route 6 Ste 2, Towanda, Pennsylvania |
| Authorized Official Name and Position | Paul Denault (CEO) |
| Authorized Official Contact | 5702650100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Tier Counseling, Inc 24727 Route 6 Ste 2 Towanda PA 18848-8257 Ph: (570) 265-0100 | Northern Tier Counseling, Inc 24727 Route 6 Ste 2 Towanda PA 18848-8257 Ph: (570) 265-0100 |
| NPI Number | 1831211952 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831211952 | NPI | - | NPPES |
| 803428 | Other | FP PROV-CHEMICAL RECOVERY | |
| 753722 | Other | PA | BLUE CROSS PROVIDER #-D&A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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