Organization
ALLEGHENY MOUNTAIN COUNSELING SERVICES, LLC
Active
Organization
ALLEGHENY MOUNTAIN COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND HANSEN L.P.C. (LICENSED PROFESSIONAL COUNSELOR)
(814) 849-0019
Entity
Organization
Contact information
Practice address
173 MAIN ST, SUITE 200, BROOKVILLE, PA 15825-0815
(814) 849-0019
(814) 849-0033
Mailing address
173 MAIN ST, SUITE 200, BROOKVILLE, PA 15825-0815
(814) 849-0019
(814) 849-0033
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
001152
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
001152
PA
Other
Enumeration date
04/29/2014
Last updated
07/22/2014
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