| Counseling Services Group | |
|
1 N Bacton Hill Rd Suite 204 Malvern PA 19355-1047 | |
| (484) 744-1005 | |
| (484) 924-9934 |
| Full Name | Counseling Services Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 N Bacton Hill Rd, Malvern, Pennsylvania |
| Authorized Official Name and Position | Carol A Pusey (THERAPIST) |
| Authorized Official Contact | 4847441005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Group 1 N Bacton Hill Rd Suite 204 Malvern PA 19355-1047 Ph: (484) 744-1005 | Counseling Services Group 1 N Bacton Hill Rd Suite 204 Malvern PA 19355-1047 Ph: (484) 744-1005 |
| NPI Number | 1669604773 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669604773 | NPI | - | NPPES |
| PC000481 | Other | PA | LICENSED PROFESSIONAL COUNSELOR |
| ICADC 25103 | Other | PA | INTERNATIONALLY CERTIFIED ALCOHOL & DRUG COUNSELOR |
| 2518 | Other | PA | CERTIFIED ADDICTIONS COUNSELOR |
| 6491 | Other | PA | CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC 000481 (Pennsylvania) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | PC000481 (Pennsylvania) | Primary |
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