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Organization

INTERCONNECTION COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH JOHN FAUST LPC (LICENSED COUNSELOR)
(610) 844-5190
Entity
Organization

Contact information

Practice address
23 N 6TH ST # 2, EMMAUS, PA 18049-2411
(484) 893-0756
Mailing address
32 S BROAD ST FL 2, NAZARETH, PA 18064-2117
(610) 844-5190

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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