Organization
CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LEA JOHNSON LPC (PRACTICE MANAGER)
(724) 720-9320
Entity
Organization
Contact information
Practice address
2009 MACKENZIE WAY STE 100, CRANBERRY TOWNSHIP, PA 16066-5338
(724) 720-9320
Mailing address
2009 MACKENZIE WAY STE 100, CRANBERRY TOWNSHIP, PA 16066-5338
(724) 720-9320
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PC008344
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
INDIVIDUAL IDENTIFIER
PA
01
—
101YM0800X
INDIVIDUAL PROVIDER
PA
01
—
101YP2500X
INDIVIDUAL IDENTIFIER
PA
Enumeration date
04/27/2017
Last updated
04/27/2017
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