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General NPI Number Information
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NPI Number | 1831093129
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL COUNSELING SERVICES OF NEPA
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 616 MYRTLE ST
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City | SCRANTON
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State | PA
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Zip | 18510-1034
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Country | US
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Telephone | 570-278-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 415 BIDEN ST
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City | SCRANTON
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State | PA
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Zip | 18503-1803
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Country | US
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Telephone | 724-278-3145
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | MR. ALEX HAZZOURI
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Credential |
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Telephone | 570-510-1338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State | NULL
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