Organization
FURNACE CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA HAGEN M.ED., LPC (LPC/PARTNER)
(610) 750-9135
Entity
Organization
Contact information
Practice address
509 W PENN AVE., UNIT 10, ROBESONIA, PA 19551
(610) 750-9135
(610) 750-9135
Mailing address
2966 LINDA LANE, SINKING SPRING, PA 19608
(610) 750-9135
(610) 750-9135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003093
PA
101YP2500X
Professional Counselor
Primary
PC006184
PA
1041C0700X
Clinical Social Worker
CW015967
PA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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