| Vision Counseling Services,llc | |
|
1843 Route 209 Safeway Storage Complex Brodheadsville PA 18322-7134 | |
| (570) 801-7373 | |
| Not Available |
| Full Name | Vision Counseling Services,llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1843 Route 209, Brodheadsville, Pennsylvania |
| Authorized Official Name and Position | Michael Clarence Johnston (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5704260096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Counseling Services,llc 1843 Route 209 South Safeway Complex Suite 1 Brodheadsville PA 18322-0826 Ph: (570) 426-0096 | Vision Counseling Services,llc 1843 Route 209 Safeway Storage Complex Brodheadsville PA 18322-7134 Ph: (570) 801-7373 |
| NPI Number | 1083998934 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083998934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | PC005541 (Pennsylvania) | Primary |
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