Individual
MR. MICHAEL JOHN CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1406 SCHAUFFLER DR, WEST HOMESTEAD, PA 15120-1345
(412) 999-7745
(412) 939-4010
Mailing address
1406 SCHAUFFLER DR, WEST HOMESTEAD, PA 15120-1345
(412) 999-7745
(412) 939-4010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004578
PA
101YP2500X
Professional Counselor
PC004578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202089
NCC NUMBER
PA
01
—
PC004578
LPC LICESNSE NUMBER
PA
Enumeration date
06/18/2007
Last updated
06/10/2025
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