Inner Vision Treatment Services
Counselor, Addiction (Substance Use Disorder) in Stroudsburg, PA. Organization (NPI-2).
NPI number1295058352
StatusActive
Last updated in NPPESMar 3, 2010
Details
- NPI
- 1295058352
- Entity type
- Organization (NPI-2)
- Legal business name
- Inner Vision Treatment Services
- Organization subpart
- No
- Enumeration date
- Mar 3, 2010
- Last updated
- Mar 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 457035 | PA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00129700 | NJ | |
| 101YP2500X | Counselor, Professional | PC005016 | PA | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | PC005016 | PA |
Other names
- Inner Vision Drug Test Consultant. (Doing Business As)
Practice location
586 Main StSuite # 9
Stroudsburg, PA 18360-2004
Phone 570-476-1902 · Fax 570-476-4225
Mailing address
586 Main StSuite # 9
Stroudsburg, PA 18360-2004
Phone 570-476-1902 · Fax 570-476-4225
Authorized official
Paul Victor Andrews
President
2019278366
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