| Forensic Counseling Serives | |
|
3664 Route 30 Latrobe PA 15650-5208 | |
| (724) 309-8083 | |
| (724) 539-1555 |
| Full Name | Forensic Counseling Serives |
|---|---|
| Speciality | Social Worker |
| Location | 3664 Route 30, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Stacey D Frye-kerr (OWNER) |
| Authorized Official Contact | 7243098083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Counseling Serives 3664 Route 30 Latrobe PA 15650-5208 Ph: () - | Forensic Counseling Serives 3664 Route 30 Latrobe PA 15650-5208 Ph: (724) 309-8083 |
| NPI Number | 1649728726 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649728726 | NPI | - | NPPES |
| 1028593260001 | Medicaid | PA | |
| 1028593260005 | Medicaid | PA | |
| 1028593260003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW129596 (Pennsylvania) | Primary |
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