| T. W. Ponessa And Associates Counseling Services, Inc. | |
|
101 E. Evergreen Road Lebanon PA 17042 | |
| (717) 560-7917 | |
| (717) 560-6452 |
| Full Name | T. W. Ponessa And Associates Counseling Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 E. Evergreen Road, Lebanon, 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 Ph: (717) 560-7917 | T. W. Ponessa And Associates Counseling Services, Inc. 101 E. Evergreen Road Lebanon PA 17042 Ph: (717) 560-7917 |
| NPI Number | 1013227685 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013227685 | NPI | - | NPPES |
| 100775933 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 311720 (Pennsylvania) | Primary |
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Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
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