MEDICARE: O'CONNELL & FARNER COUNSELING ASSOCIATES, LLC

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	101YP2500X	Professional Counselor	PC006016	PA

General Provider Information

NPI Number	:	1497025456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O'CONNELL & FARNER COUNSELING ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2260 SPRING RD
Second Line	:	SUITE 2
City	:	CARLISLE
State	:	PA
Zip	:	17013-8761
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2260 SPRING RD
Second Line	:	SUITE 2
City	:	CARLISLE
State	:	PA
Zip	:	17013-8761
Country	:	US
Telephone Number	:	415-971-2709
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TIMOTHY FARNER
Credential	:	LPC
Telephone Number	:	415-971-2709

Provider Enumeration Date	:	01/09/2012
Last Update Date	:	02/01/2012

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