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Organization
MON VALLEY WELLNESS LLC
Active
Organization
MON VALLEY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WILLIAM WAGNER LPC (OWNER)
(412) 822-6286
Entity
Organization
Contact information
Practice address
510 WASHINGTON AVE, CARNEGIE, PA 15106-2874
(412) 822-6286
Mailing address
187 W SCHWAB AVE, HOMESTEAD, PA 15120-2236
(412) 512-0068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225308836
NPPES
—
Enumeration date
09/20/2021
Last updated
09/20/2021
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