Organization
COUNSELING AND WELLNESS CENTER OF PITTSBURGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WIJKSTROM MA, LPC, NCC (THERAPIST)
(412) 316-7397
Entity
Organization
Contact information
Practice address
830 WESTERN AVE, PITTSBURGH, PA 15233-1772
(412) 322-2129
Mailing address
830 WESTERN AVE, PITTSBURGH, PA 15233-1772
(412) 322-2129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC007895
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/05/2014
Last updated
12/01/2023
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