MEDICARE: ASSOCIATES IN COUNSELING AND WELLNESS

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	PC005075	PA

General Provider Information

NPI Number	:	1427471671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN COUNSELING AND WELLNESS

Provider Business Mailing Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	412-559-9152
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH VENTURA
Credential	:
Telephone Number	:	412-559-9152

Provider Enumeration Date	:	01/23/2014
Last Update Date	:	01/23/2014

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