Organization
COUNSELING CONNECTIONS OF SWPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PRAVLIK PH.D., LPC (CLINICAL COORDINATOR)
(724) 880-4456
Entity
Organization
Contact information
Practice address
222 INDEPENDENCE STREET, SUITE 1, PERRYOPOLIS, PA 15473
(724) 880-4456
Mailing address
222 INDEPENDENCE STREET, SUITE 1, PERRYOPOLIS, PA 15473
(724) 880-4456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
04/11/2016
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