Organization
MAINSTREAMCOUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE A WAGNERWOOMER LCSW (OWNER)
(814) 643-1114
Entity
Organization
Contact information
Practice address
900 WASHINGTON ST, HUNTINGDON, PA 16652-1826
(814) 643-1114
(814) 643-5344
Mailing address
900 WASHINGTON ST, HUNTINGDON, PA 16652-1826
(814) 643-1114
(814) 643-5344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
317013
PA
101YM0800X
Mental Health Counselor
317013
PA
1041C0700X
Clinical Social Worker
317013
PA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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