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Organization

NEWPORT COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISE WOODCOCK (OFFICE MANAGER)
(717) 275-3570
Entity
Organization

Contact information

Practice address
28 WEST SHORTCUT ROAD, NEWPORT, PA 17074-8721
(717) 567-3524
(717) 567-3581
Mailing address
28 WEST SHORTCUT RD, NEWPORT, PA 17074-8721
(717) 567-3524
(717) 567-3581

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PA
1041C0700X
Clinical Social Worker
CWO15633
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019436680001
PA
05
102090458
PA
Enumeration date
06/11/2007
Last updated
02/08/2016
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