Organization
INTERWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L SALEM CACD, LPC (CLINICAL DIRECTOR)
(717) 236-6630
Entity
Organization
Contact information
Practice address
4335A N FRONT ST, HARRISBURG, PA 17110-1618
(717) 236-6630
(717) 236-6677
Mailing address
4335A N FRONT ST, HARRISBURG, PA 17110-1618
(717) 236-6630
(717) 236-6677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
#1161
PA
101YM0800X
Mental Health Counselor
Primary
PC002367
PA
Other
Enumeration date
05/17/2007
Last updated
03/06/2009
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