Organization
CHILD AND ADOLESCENT COUNSELING SERVICES OF SOUTHEASTERN PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JANE VAN DER LAAN MHS, CAC, CCJS (COUNSELOR)
(484) 769-9109
Entity
Organization
Contact information
Practice address
220 W GAY ST, WEST CHESTER, PA 19380-2917
(610) 764-8655
Mailing address
220 W GAY ST, WEST CHESTER, PA 19380-2917
(610) 764-8655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2314
PA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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