| Vernam Counseling Services, Llc | |
|
107 Breckenridge Street Suite 3 Grove City PA 16127-1025 | |
| (724) 458-4990 | |
| (855) 775-0514 |
| Full Name | Vernam Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 107 Breckenridge Street, Grove City, Pennsylvania |
| Authorized Official Name and Position | Jody Ellen Vernam (LPC AND OWNER) |
| Authorized Official Contact | 7244584990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernam Counseling Services, Llc 107 Breckenridge Street Suite 3 Grove City PA 16127-1025 Ph: (724) 458-4990 | Vernam Counseling Services, Llc 107 Breckenridge Street Suite 3 Grove City PA 16127-1025 Ph: (724) 458-4990 |
| NPI Number | 1235309949 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 08/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235309949 | NPI | - | NPPES |
| 102297262 | Medicaid | PA | |
| 1973158 | Other | PA | HIGHMARK BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC004344 (Pennsylvania) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PC004344 (Pennsylvania) | Secondary |
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