# INNER VISION TREATMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inner Vision Drug Test Consultant.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295058352
- **Authorized official:** MR. PAUL VICTOR ANDREWS LPC,LCAD,CCS,CAC,SAP (PRESIDENT)
- **Authorized official phone:** (201) 927-8366

## Contact information

- **Practice address:** 586 MAIN ST, SUITE \# 9, STROUDSBURG, PA 18360-2004
- **Practice address phone:** (570) 476-1902
- **Practice address fax:** (570) 476-4225
- **Mailing address:** 586 MAIN ST, SUITE \# 9, STROUDSBURG, PA 18360-2004
- **Mailing address phone:** (570) 476-1902
- **Mailing address fax:** (570) 476-4225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 37LC00129700 | NJ | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 457035 | PA | Yes |
| 101YP2500X | Professional Counselor | PC005016 | PA | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | PC005016 | PA | — |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 03/03/2010
