Organization
NORTHERN TIER COUNSELING, INC
Active
Other names
FPH-Chemical Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DENAULT (CEO)
(570) 265-0100
Entity
Organization
Contact information
Practice address
24727 ROUTE 6 STE 2, TOWANDA, PA 18848-8257
(570) 265-0100
(570) 265-6741
Mailing address
24727 ROUTE 6 STE 2, TOWANDA, PA 18848-8257
(570) 265-0100
(570) 265-6741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753722
BLUE CROSS PROVIDER #-D&A
PA
01
—
803428
FP PROV-CHEMICAL RECOVERY
—
Enumeration date
04/06/2007
Last updated
02/18/2015
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