# INNOVATIVE COUNSELING ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245267129
- **Authorized official:** DEBRA L. FETTERMAN (BUSINESS OWNER)
- **Authorized official phone:** (610) 326-2728

## Contact information

- **Practice address:** 600 CREEKSIDE DR, SUITE 601, POTTSTOWN, PA 19464-9204
- **Practice address phone:** (610) 326-2728
- **Practice address fax:** (610) 326-2750
- **Mailing address:** 600 CREEKSIDE DR STE 601, POTTSTOWN, PA 19464-9204
- **Mailing address phone:** (610) 326-2728
- **Mailing address fax:** (610) 326-2750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TS0200X | School Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 04/28/2026