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Organization
MEADVILLE COUNSELING CENTER LLC
Active
Organization
MEADVILLE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DALE HUSELTON II MS (MEMBER)
(814) 807-1316
Entity
Organization
Contact information
Practice address
18320 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3740
(814) 807-1316
(814) 336-1156
Mailing address
9256 FRANKLIN ST, MEADVILLE, PA 16335-6466
(814) 807-1316
(814) 336-1156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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