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1200 Jefferson St Latrobe PA 15650-1915 | |
| (724) 708-6400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1200 Jefferson St, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Nicole Renee O'barto Trainer (OWNER) |
| Authorized Official Contact | 7249619999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 Jefferson St Latrobe PA 15650-1915 Ph: (724) 708-6400 | 1200 Jefferson St Latrobe PA 15650-1915 Ph: (724) 708-6400 |
| NPI Number | 1588285548 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588285548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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