Wellspring Of Life Counseling Llc | |
14 E 4th St Emporium PA 15834-1443 | |
(814) 331-7949 | |
Not Available |
Full Name | Wellspring Of Life Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 14 E 4th St, Emporium, Pennsylvania |
Authorized Official Name and Position | Constance Boyce (OWNER/FOUNDER) |
Authorized Official Contact | 4432047767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellspring Of Life Counseling Llc Po Box 343 Emporium PA 15834-0343 Ph: (814) 331-7949 | Wellspring Of Life Counseling Llc 14 E 4th St Emporium PA 15834-1443 Ph: (814) 331-7949 |
NPI Number | 1326858903 |
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Provider Enumeration Date | 01/07/2025 |
Last Update Date | 01/07/2025 |
Certification Date | 01/07/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326858903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |