Organization
COUNSELING SERVICES GROUP
Active
Organization
COUNSELING SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A PUSEY M.A.,L.P.C.,C.A.C (THERAPIST)
(484) 744-1005
Entity
Organization
Contact information
Practice address
1 N BACTON HILL RD, SUITE 204, MALVERN, PA 19355-1047
(484) 744-1005
(484) 924-9934
Mailing address
1 N BACTON HILL RD, SUITE 204, MALVERN, PA 19355-1047
(484) 744-1005
(484) 924-9934
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PC 000481
PA
261QM1300X
Multi-Specialty Clinic/Center
Primary
PC000481
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2518
CERTIFIED ADDICTIONS COUNSELOR
PA
01
—
6491
CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL
PA
01
—
ICADC 25103
INTERNATIONALLY CERTIFIED ALCOHOL & DRUG COUNSELOR
PA
01
—
PC000481
LICENSED PROFESSIONAL COUNSELOR
PA
Enumeration date
08/24/2009
Last updated
08/24/2009
Update your record
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