| Professional Counseling And Consulting Services Inc | |
|
11147 State Hwy 18 Suite 5 Conneaut Lake PA 16316-3603 | |
| (814) 382-8798 | |
| (814) 382-6684 |
| Full Name | Professional Counseling And Consulting Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11147 State Hwy 18, Conneaut Lake, Pennsylvania |
| Authorized Official Name and Position | Chrissy Marie Petro (COUNSELOR) |
| Authorized Official Contact | 8143828798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling And Consulting Services Inc 11147 State Hwy 18 Suite 5 Conneaut Lake PA 16316-3603 Ph: (814) 382-8798 | Professional Counseling And Consulting Services Inc 11147 State Hwy 18 Suite 5 Conneaut Lake PA 16316-3603 Ph: (814) 382-8798 |
| NPI Number | 1205079001 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 06/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205079001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW013913 (Pennsylvania) | Primary |
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