| Connellsville Counseling Center, Inc. | |
|
110 S Arch St Connellsville PA 15425-3515 | |
| (724) 626-9941 | |
| (724) 626-2785 |
| Full Name | Connellsville Counseling Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 110 S Arch St, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Chris Stern (COO) |
| Authorized Official Contact | 7246269941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connellsville Counseling Center, Inc. 110 S Arch St Connellsville PA 15425-3515 Ph: (724) 626-9941 | Connellsville Counseling Center, Inc. 110 S Arch St Connellsville PA 15425-3515 Ph: (724) 626-9941 |
| NPI Number | 1609941236 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609941236 | NPI | - | NPPES |
| 0015260180003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD-070419L (Pennsylvania) | Primary |
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