| Keystone State Counseling Llc | |
|
55 New St Ste H4 Ephrata PA 17522-2826 | |
| (610) 621-5293 | |
| Not Available |
| Full Name | Keystone State Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 55 New St Ste H4, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Jason Pierce (LPC/OWNER) |
| Authorized Official Contact | 6106215293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone State Counseling Llc 55 New St Ste H4 Ephrata PA 17522-2826 Ph: (610) 621-5293 | Keystone State Counseling Llc 55 New St Ste H4 Ephrata PA 17522-2826 Ph: (610) 621-5293 |
| NPI Number | 1467295212 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467295212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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