T. W. Ponessa And Associates Counseling Services, Inc. | |
410 N Prince St Lancaster PA 17603-3010 | |
(717) 560-7917 | |
(717) 560-6452 |
Full Name | T. W. Ponessa And Associates Counseling Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 410 N Prince St, Lancaster, 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. 410 N Prince St Lancaster PA 17603-3010 Ph: (717) 560-7917 | T. W. Ponessa And Associates Counseling Services, Inc. 410 N Prince St Lancaster PA 17603-3010 Ph: (717) 560-7917 |
NPI Number | 1205108677 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 01/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205108677 | NPI | - | NPPES |
1007759330037 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 311720 (Pennsylvania) | Primary |
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