Organization
FOUNDATIONS CHRISTIAN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED JACOBY MA (EXECUTIVE DIRECTOR)
(570) 402-5088
Entity
Organization
Contact information
Practice address
1546 ROUTE 209, BRODHEADSVILLE, PA 18322-7142
(570) 402-5088
Mailing address
1546 ROUTE 209, BRODHEADSVILLE, PA 18322-7142
(570) 402-5088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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