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Organization

FOUR CUPS: COUNSELING AND CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAANEN CHURUKHA LCSW (CHIEF EXECUTIVE MEMBER/THERAPIST)
(717) 524-8165
Entity
Organization

Contact information

Practice address
2643 N 3RD ST STE 2-302, HARRISBURG, PA 17110-2048
(717) 551-9119
Mailing address
134 ROBIN LN APT O4, HUMMELSTOWN, PA 17036-8239
(717) 557-9119

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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