Organization
COUNSELING INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE SCHAD LPC (CO-OWNER)
(412) 853-5234
Entity
Organization
Contact information
Practice address
5362 STEUBENVILLE PIKE, MC KEES ROCKS, PA 15136-1434
(412) 853-5234
Mailing address
25 SPRUCE LN, BURGETTSTOWN, PA 15021-2728
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093269474
PERSONAL NPI
—
01
—
PC009109
PA STATE LICENSE
PA
Enumeration date
06/13/2019
Last updated
06/13/2019
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