MEDICARE: T. W. PONESSA AND 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1285802728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T. W. PONESSA AND ASSOCIATES COUNSELING SERVICES, INC.

Provider Business Mailing Address
First Line	:	2141 OREGON PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4604
Country	:	US
Telephone Number	:	717-560-7917
Fax Number	:	717-560-6452

Provider Business Practice Location Address
First Line	:	116 S WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-5319
Country	:	US
Telephone Number	:	717-295-5360
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CATHERINE ANN DEGUIRE
Credential	:	MS, JD
Telephone Number	:	717-560-7917

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	02/19/2008

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