Organization
EVERGREEN COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ANTHONY BRUNETTI L.C.S.W. (DIRECTOR)
(724) 845-9880
Entity
Organization
Contact information
Practice address
415 E 4TH AVE, SUITE 7, TARENTUM, PA 15084-1847
(724) 845-9880
(724) 353-1083
Mailing address
PO BOX 472, NATRONA HEIGHTS, PA 15065-0472
(724) 845-9880
(724) 353-1083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC003332
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102227731 0001
—
PA
Enumeration date
06/15/2009
Last updated
06/15/2009
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