# ALLIANCE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780192161
- **Authorized official:** MS. FAWN M CLARK MA, NCC, LPC (THERAPIST)
- **Authorized official phone:** (724) 351-0585

## Contact information

- **Practice address:** 2639 RIVER RD, VANDERGRIFT, PA 15690-6105
- **Practice address phone:** (724) 351-0585
- **Mailing address:** 2639 RIVER RD, VANDERGRIFT, PA 15690-6105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | PC007371 | PA | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 06/16/2018