Organization
VISION COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CLARENCE JOHNSTON MHS,LPC,CADC,LCADC (PROGRAM DIRECTOR)
(570) 426-0096
Entity
Organization
Contact information
Practice address
1843 ROUTE 209, SAFEWAY STORAGE COMPLEX, BRODHEADSVILLE, PA 18322-7134
(570) 801-7373
Mailing address
1843 ROUTE 209, SOUTH SAFEWAY COMPLEX SUITE 1, BRODHEADSVILLE, PA 18322-0826
(570) 426-0096
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PC005541
PA
Other
Enumeration date
10/10/2011
Last updated
12/04/2014
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