| Mister Ross Counseling Llc | |
|
1714 Main St Blakely PA 18447-1362 | |
| (570) 209-5981 | |
| (570) 489-1464 |
| Full Name | Mister Ross Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1714 Main St, Blakely, Pennsylvania |
| Authorized Official Name and Position | Ross Capoccia (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5702095981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mister Ross Counseling Llc 1337 Saint Ann St Scranton PA 18504-3016 Ph: (570) 209-5981 | Mister Ross Counseling Llc 1714 Main St Blakely PA 18447-1362 Ph: (570) 209-5981 |
| NPI Number | 1427724707 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427724707 | NPI | - | NPPES |
| 4587192 | Other | PA | HIGHMARK |
| 1036815540004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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