Organization
HARBOR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUE ROOF (PROJECT DIRECTOR)
(570) 724-5272
Entity
Organization
Contact information
Practice address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Mailing address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
597013
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
597013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016666180003
—
PA
01
—
664069
VALUEOPTIONS ID
PA
01
—
994520
BLUE CROSS PROVIDER ID
PA
Enumeration date
01/11/2006
Last updated
02/27/2025
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