Mark Alan Stoltz
Clinic/Center, Adult Mental Health in Du Bois, PA. Organization (NPI-2).
NPI number1659030328
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1659030328
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Alan Stoltz
- Organization subpart
- No
- Enumeration date
- Dec 10, 2021
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Mark Stoltz Lcsw (Doing Business As)
Practice location
993 Beaver DrDu Bois, PA 15801-2513
Phone 814-771-5544
Mailing address
1194 Treasure LkDu Bois, PA 15801-9028
Phone 814-771-5544
Authorized official
Mark A Stoltz
Owner
8147715544
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