Mountainhome Counseling Center
Counselor, Professional in Cresco, PA. Organization (NPI-2).
NPI number1831772003
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1831772003
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountainhome Counseling Center
- Organization subpart
- No
- Enumeration date
- May 4, 2021
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
1056 Route 390Cresco, PA 18326-7908
Phone 570-213-9139
Mailing address
110 Wywamic RdCresco, PA 18326-7453
Phone 201-965-1828
Authorized official
Brittan Calderone
Owner
2019651828
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