| T. W. Ponessa And Associates Counseling Services, Inc. | |
|
51 E Fulton St Ephrata PA 17522-2450 | |
| (717) 560-7917 | |
| (717) 560-6452 |
| Full Name | T. W. Ponessa And Associates Counseling Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 51 E Fulton St, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Catherine A. Deguire (CEO) |
| Authorized Official Contact | 7175607917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. W. Ponessa And Associates Counseling Services, Inc. 2141 Oregon Pike Lancaster PA 17601-4604 Ph: (717) 560-7917 | T. W. Ponessa And Associates Counseling Services, Inc. 51 E Fulton St Ephrata PA 17522-2450 Ph: (717) 560-7917 |
| NPI Number | 1417228156 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417228156 | NPI | - | NPPES |
| 100775933 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 311720 (Pennsylvania) | Primary |
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