Organization
PENNSYLVANIA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA BREWER A.A. (DIRECTOR OF MANAGED CARE)
(717) 273-1710
Entity
Organization
Contact information
Practice address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416
Mailing address
200 NORTH SEVENTH STREET, LEBANON, PA 17046
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775512
—
PA
Enumeration date
03/24/2006
Last updated
06/12/2008
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