Organization
MANE DIFFERENCE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA CONTRAFATTO MSED, LPC, LBS, NCC (CEO)
(412) 513-9108
Entity
Organization
Contact information
Practice address
2400 ANSYS DR STE 102, CANONSBURG, PA 15317-0403
(412) 513-9108
(724) 597-2001
Mailing address
83 MURRAY AVE, WASHINGTON, PA 15301-5227
(412) 513-9108
(724) 597-2001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04217611
BLUE CROSS BLUE SHIELD - HIGHMARK
—
01
—
5711734
CIGNA
—
Enumeration date
09/24/2019
Last updated
10/01/2019
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