Organization
NORTHERN TIER COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DENAULT (CEO)
(570) 265-0100
Entity
Organization
Contact information
Practice address
MAIN STREET, LAPORTE, PA 18626
(570) 265-0100
Mailing address
RR 1 BOX 137, TOWANDA, PA 18848-9730
(570) 265-0100
(570) 265-6741
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
201550
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
03/26/2009
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