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Organization

COUNSELING WELLNESS OF INDIANA COUNTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRA K NAGG LPC, NCC (LICENSED THERAPIST)
(724) 717-6481
Entity
Organization

Contact information

Practice address
637 PHILADELPHIA ST, INDIANA THEATER BUILDING, SUITE 402, INDIANA, PA 15701-3919
(724) 717-6481
(724) 717-6484
Mailing address
637 PHILADELPHIA ST, INDIANA THEATER BUILDING, SUITE 402, INDIANA, PA 15701-3919
(724) 717-6481
(724) 717-6484

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC005869
PA

Other

Enumeration date
06/23/2016
Last updated
03/22/2017
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