| Kaleidoscope Therapy Center | |
|
393 Grace Ave Canonsburg PA 15317-1071 | |
| (724) 678-5115 | |
| Not Available |
| Full Name | Kaleidoscope Therapy Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 393 Grace Ave, Canonsburg, Pennsylvania |
| Authorized Official Name and Position | Courtney L Cavanaugh (PRESIDENT) |
| Authorized Official Contact | 7246785115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Therapy Center 393 Grace Ave Canonsburg PA 15317-1071 Ph: (724) 678-5115 | Kaleidoscope Therapy Center 393 Grace Ave Canonsburg PA 15317-1071 Ph: (724) 678-5115 |
| NPI Number | 1457654212 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457654212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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