Organization
NORTHERN TIER COUNSELING, INC
Active
Other names
Northern Tier Counseling- MA Psychologist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DENAULT (CEO)
(570) 265-0100
Entity
Organization
Contact information
Practice address
RR 1 BOX 137, TOWANDA, PA 18848-9730
(570) 265-0100
(570) 265-6741
Mailing address
RR 1 BOX 137, TOWANDA, PA 18848-9730
(570) 265-0100
(570) 265-6741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814274
FPH PROVIDER#-PSYCHOLOGY
PA
Enumeration date
07/24/2006
Last updated
08/22/2020
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