Organization
PHOENIX TRAINING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARUE CARRIGAN-HOUSER MHS,CADC,LPC,CCJP (DIRECTOR)
(610) 737-0499
Entity
Organization
Contact information
Practice address
1147 W LIBERTY ST, ALLENTOWN, PA 18102-2738
(610) 737-0499
Mailing address
1147 W LIBERTY ST, ALLENTOWN, PA 18102-2738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
397049
PA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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