Organization
FORENSIC COUNSELING SERIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY D FRYE-KERR LSW (OWNER)
(724) 309-8083
Entity
Organization
Contact information
Practice address
3664 ROUTE 30, LATROBE, PA 15650-5208
(724) 309-8083
(724) 539-1555
Mailing address
3664 ROUTE 30, LATROBE, PA 15650-5208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028593260001
—
PA
05
—
1028593260003
—
PA
05
—
1028593260005
—
PA
Enumeration date
09/16/2016
Last updated
09/16/2016
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