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Organization
RURAL MENTAL HEALTH ASSOCIATES INC
Active
Organization
RURAL MENTAL HEALTH ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOYER DRELICK MA (PRESIDENT)
(814) 678-6900
Entity
Organization
Contact information
Practice address
19 CENTRAL AVE, 3RD FLOOR, OIL CITY, PA 16301-2733
(814) 678-6900
(814) 678-6902
Mailing address
19 CENTRAL AVE, 3RD FLOOR, OIL CITY, PA 16301-2733
(814) 678-6900
(814) 678-6902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC000646
PA
101YP2500X
Professional Counselor
PC003785
PA
103TC0700X
Clinical Psychologist
PS005971L
PA
103TC1900X
Counseling Psychologist
PS005854L
PA
104100000X
Social Worker
SW125709
PA
1041C0700X
Clinical Social Worker
Primary
CW013252
PA
1041C0700X
Clinical Social Worker
CW014422
PA
1041C0700X
Clinical Social Worker
CW014657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102198783
—
PA
01
—
149920
MEDICARE PTAN
PA
01
—
631706
BLUE SHIELD
PA
01
—
666521
BLUE SHIELD
PA
Enumeration date
07/07/2006
Last updated
07/07/2016
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