| Forensic Counseling Associates, Llc | |
|
1385 Pocono Blvd Mount Pocono PA 18344-1678 | |
| (570) 476-7704 | |
| (570) 421-3600 |
| Full Name | Forensic Counseling Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1385 Pocono Blvd, Mount Pocono, Pennsylvania |
| Authorized Official Name and Position | Carol Haupt (CO-OWNER) |
| Authorized Official Contact | 5704767704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Counseling Associates, Llc 1385 Pocono Blvd Mount Pocono PA 18344-1678 Ph: (570) 476-7704 | Forensic Counseling Associates, Llc 1385 Pocono Blvd Mount Pocono PA 18344-1678 Ph: (570) 476-7704 |
| NPI Number | 1174951933 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174951933 | NPI | - | NPPES |
| 101586734 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC001023 (Pennsylvania) | Primary |
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