Organization
GENE N BROSIUS BEHAVIOR ANALYSIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE NEWTON BROSIUS LPC (OWNER)
(570) 412-3046
Entity
Organization
Contact information
Practice address
935 ROUTE 522, SELINSGROVE, PA 17870-9714
(570) 412-3046
Mailing address
31 WALNUT ST, MILTON, PA 17847-1217
(570) 412-3046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002400
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101992662
—
PA
Enumeration date
07/30/2015
Last updated
07/30/2015
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