Organization
CONSTELLATE PATCHWORK THERAPY & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA STORM LCSW (LICENSED CLINICAL SOCIAL WORKER)
(814) 758-0442
Entity
Organization
Contact information
Practice address
85 2ND ST, CALIFORNIA, PA 15419-1018
(814) 758-0442
Mailing address
85 2ND ST, CALIFORNIA, PA 15419-1018
(814) 758-0442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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