Organization
APOLLO MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN THOMAS PETROLE LPC (OWNER)
(570) 582-8621
Entity
Organization
Contact information
Practice address
36 NORTH CHESTNUT STREET, TRESCKOW, PA 18254
(570) 582-8621
Mailing address
36 NORTH CHESTNUT STREET PO BOX 193, TRESCKOW, PA 18254
(570) 582-8621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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