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NPI Code Detail

MEDICARE: T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.

MEDICARE: T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency311720PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053341859
Entity Type Code : Organization
Provider Name (Legal Business Name) : T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.
Provider Business Mailing Address
First Line : 410 N. PRINCE STREET
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number : 717-560-7917
Fax Number : 717-560-6452
Provider Business Practice Location Address
First Line : 410 N. PRINCE STREET
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number : 717-560-7917
Fax Number : 717-560-6452
Authorized Official
Title or Position : CEO
Name : CATHY A DEGUIRE
Credential : MS, JD, MBA
Telephone Number : 717-560-7917
Provider Enumeration Date : 07/04/2006
Last Update Date : 05/16/2016

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Directions to “T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC. ” Practice Location

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