| Family Therapy Services | |
|
307 Market St Johnstown PA 15901-1701 | |
| (814) 254-4351 | |
| Not Available |
| Full Name | Family Therapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 307 Market St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Carlene Gibson (CEO) |
| Authorized Official Contact | 8142544351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Services Po Box 273 Johnstown PA 15907-0273 Ph: () - | Family Therapy Services 307 Market St Johnstown PA 15901-1701 Ph: (814) 254-4351 |
| NPI Number | 1629512660 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629512660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW018684 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904009477 (Virginia) | Secondary |
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