Organization
ALL ABOUT YOU COUNSELING AND ASSESSMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HELEN JACKOWSKI (OFFICE MANAGER)
(814) 920-4164
Entity
Organization
Contact information
Practice address
4402 PEACH ST, ERIE, PA 16509-1358
(814) 920-4164
(814) 920-4187
Mailing address
4402 PEACH ST, ERIE, PA 16509-1358
(814) 920-4164
(814) 920-4187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0005960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10295041980009
—
SD
Enumeration date
09/07/2017
Last updated
06/11/2021
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