Organization
CENTRE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN EDWIN STUBE LPC (OWNER)
(814) 387-8823
Entity
Organization
Contact information
Practice address
315 S ALLEN ST, SUITE 326, STATE COLLEGE, PA 16801-4849
(814) 387-8823
Mailing address
315 S ALLEN ST, SUITE 326, STATE COLLEGE, PA 16801-4849
(814) 387-8823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008236
PA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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