Organization
CONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE MONGELLUZZO LCSW (CLINICAL DIRECTOR)
(724) 626-8420
Entity
Organization
Contact information
Practice address
416 S PITTSBURGH ST, CONNELLSVILLE, PA 15425-4003
(724) 626-8420
(724) 628-0898
Mailing address
416 S PITTSBURGH ST, CONNELLSVILLE, PA 15425-4003
(724) 626-8420
(724) 628-0898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
TO BE ASSIGNED
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TO BE ASSIGNED
—
PA
Enumeration date
06/30/2010
Last updated
06/30/2010
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