Organization
FAYETTE CO. DRUG & ALCOHOL COMMISSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA SHERBONDY CACII, CPS (EXECUTIVE DIRECTOR)
(724) 438-3576
Entity
Organization
Contact information
Practice address
100 NEW SALEM RD, SUITE 106, UNIONTOWN, PA 15401-8936
(724) 438-3576
(724) 438-3305
Mailing address
100 NEW SALEM RD, SUITE 106, UNIONTOWN, PA 15401-8936
(724) 438-3576
(724) 438-3305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
261084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007582440007
—
PA
01
—
1517783
HIGHMARK BC BS
PA
01
—
328848
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
11/10/2005
Last updated
08/22/2020
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