Professional Counseling and Consulting Services INC

NPI #1205079001 in Conneaut Lake, Pennsylvania

Provider Information

NPI Number: 1205079001
Entity Type: Organization
Organization Name: Professional Counseling and Consulting Services INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 9, 2009
Last Updated: Jun 19, 2009

Practice Location

Address: 11147 STATE HWY 18
Address 2: SUITE 5
City: Conneaut Lake
State: Pennsylvania
ZIP Code: 16316-3603
Phone: (814) 382-8798

Authorized Official

Name: MRS. CHRISSY MARIE PETRO, LCSW
Title: COUNSELOR
Phone: (814) 382-8798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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