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Organization

NORTHEAST COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ED ABDO JR. LSW (EXECUTIVE DIRECTOR)
(570) 735-7590
Entity
Organization

Contact information

Practice address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1007615710021
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007615710021
PA
Enumeration date
05/19/2008
Last updated
05/19/2008
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