West End Counseling, Inc. | |
1841 Route 209 Brodheadsville PA 18322-7133 | |
(570) 236-0042 | |
Not Available |
Full Name | West End Counseling, Inc. |
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Speciality | Social Worker |
Location | 1841 Route 209, Brodheadsville, Pennsylvania |
Authorized Official Name and Position | Cathleen Anne Powell (PRESIDENT) |
Authorized Official Contact | 5702360042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West End Counseling, Inc. 626 Shane Dr Effort PA 18330-8169 Ph: (570) 236-0042 | West End Counseling, Inc. 1841 Route 209 Brodheadsville PA 18322-7133 Ph: (570) 236-0042 |
NPI Number | 1306251368 |
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Provider Enumeration Date | 06/27/2014 |
Last Update Date | 06/27/2014 |
Medicare PECOS PAC ID | 5294950143 |
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Medicare Enrollment ID | O20140709000221 |
Identifier | Type | State | Issuer |
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1306251368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Cathleen A Powell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548332430 PECOS PAC ID: 5991714826 Enrollment ID: I20060427000478 |
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