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Organization

COUNSELING FOR ALL AGES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY LYNN WILSON LPC (OWNER/PROVIDER)
(724) 705-9121
Entity
Organization

Contact information

Practice address
50 SNYDER RD, HERMITAGE, PA 16148-3432
(724) 705-9121
Mailing address
50 SNYDER RD, HERMITAGE, PA 16148-3432
(724) 705-9121

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13814654
CAQH ID
Enumeration date
10/31/2019
Last updated
11/18/2019
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