Foundations Christian Counseling Services | |
1546 Route 209 Brodheadsville PA 18322-7142 | |
(570) 402-5088 | |
Not Available |
Full Name | Foundations Christian Counseling Services |
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Speciality | Community/behavioral Health |
Location | 1546 Route 209, Brodheadsville, Pennsylvania |
Authorized Official Name and Position | Fred Jacoby (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5704025088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foundations Christian Counseling Services 1546 Route 209 Brodheadsville PA 18322-7142 Ph: (570) 402-5088 | Foundations Christian Counseling Services 1546 Route 209 Brodheadsville PA 18322-7142 Ph: (570) 402-5088 |
NPI Number | 1053763359 |
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Provider Enumeration Date | 07/11/2016 |
Last Update Date | 07/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053763359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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