Organization
FORENSIC COUNSELING ASSOCIATES LLC
Active
Parent organization
FORENSIC COUNSELING ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORENSIC COUNSELING ASSOCIATES LLC
Authorized official
LORI BERTANZETTI LCSW (OWNER)
(570) 460-4379
Entity
Organization
Contact information
Practice address
1385 POCONO BLVD., FORENSIC COUNSELING ASSOCIATES, LLC, MT. POCONO, PA 18344
(570) 460-4379
(570) 421-3600
Mailing address
1385 POCONO BLVD., FORENSIC COUNSELING ASSOCIATES, LLC, MT. POCONO, PA 18344
(570) 460-4379
(570) 421-3600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102550736
—
PA
Enumeration date
08/19/2010
Last updated
07/15/2015
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