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Organization
WILLIAM R. AINSWORTH PROFESSIONAL COUNSELING SERVICES LLC
Active
Organization
WILLIAM R. AINSWORTH PROFESSIONAL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R. AINSWORTH L.P.C. (PRESIDENT)
(724) 794-1404
Entity
Organization
Contact information
Practice address
164 S MAIN ST, SLIPPERY ROCK, PA 16057-1245
(724) 794-1404
(724) 794-1404
Mailing address
228 FRANKLIN ST, SLIPPERY ROCK, PA 16057-1103
(724) 794-1404
(724) 794-1404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2436
PA
101YM0800X
Mental Health Counselor
PC001270
PA
101YP2500X
Professional Counselor
Primary
PC001270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009378620001
—
PA
05
—
1024026530002
—
PA
Enumeration date
04/08/2008
Last updated
11/04/2014
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