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Organization
PINE COUNSELING SERVICES
Active
Organization
PINE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA R ROMANELLI (BILLING)
(724) 387-2455
Entity
Organization
Contact information
Practice address
101 BRADFORD RD, SUITE 230, WEXFORD, PA 15090-6909
(724) 940-9141
Mailing address
101 BRADFORD RD, SUITE 230, WEXFORD, PA 15090-6909
(724) 940-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012601
HIGHMARK
PA
Enumeration date
07/09/2008
Last updated
07/09/2008
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