Organization
ALLIANCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAWN M CLARK MA, NCC, LPC (THERAPIST)
(724) 351-0585
Entity
Organization
Contact information
Practice address
2639 RIVER RD, VANDERGRIFT, PA 15690-6105
(724) 351-0585
Mailing address
2639 RIVER RD, VANDERGRIFT, PA 15690-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007371
PA
Other
Enumeration date
01/19/2018
Last updated
06/16/2018
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