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Contact Information

CONNELLSVILLE COUNSELING CENTER, INC
110 S ARCH ST
CONNELLSVILLE, PA15425-3515
 Phone: 724-626-9941
 Fax: 724-626-2785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CONNELLSVILLE COUNSELING CENTER INC · (Female)

NPI # 1386916435
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2012
Last updated 02/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 001526018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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