Organization
INNER VISION TREATMENT SERVICES
Active
Other names
Inner Vision Drug Test Consultant.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL VICTOR ANDREWS LPC,LCAD,CCS,CAC,SAP (PRESIDENT)
(201) 927-8366
Entity
Organization
Contact information
Practice address
586 MAIN ST, SUITE # 9, STROUDSBURG, PA 18360-2004
(570) 476-1902
(570) 476-4225
Mailing address
586 MAIN ST, SUITE # 9, STROUDSBURG, PA 18360-2004
(570) 476-1902
(570) 476-4225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00129700
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
457035
PA
101YP2500X
Professional Counselor
PC005016
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PC005016
PA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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