Organization
EVERGREEN COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A BRUNETTI L.C.S.W. (PRESIDENT)
(724) 845-9880
Entity
Organization
Contact information
Practice address
1129 INDUSTRIAL PARK RD, MAILBOX #29, SUITE 211, VANDERGRIFT, PA 15690-9646
(724) 845-9880
Mailing address
PO BOX 472, NATRONA HEIGHTS, PA 15065-0472
(724) 845-9880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003332
PA
103T00000X
Psychologist
PS016983
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS016983
PA
103TC0700X
Clinical Psychologist
PS016983
PA
103TC1900X
Counseling Psychologist
PS016983
PA
103TF0200X
Forensic Psychologist
PS016983
PA
104100000X
Social Worker
CW013339
PA
1041C0700X
Clinical Social Worker
Primary
CW013339
PA
Other
Enumeration date
04/22/2008
Last updated
06/14/2011
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