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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