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Organization
COUPLES AT CROSSROADS
Active
Organization
COUPLES AT CROSSROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE D THIESSEN PHD (PRESIDENT)
(717) 433-5751
Entity
Organization
Contact information
Practice address
5006 LENKER ST, MECHANICSBURG, PA 17050-3202
(717) 433-5751
Mailing address
5006 LENKER ST, MECHANICSBURG, PA 17050-3202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000107
PA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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