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NPI Code Detail

MEDICARE: ELLEN N. D'URSO MA, NCC

MEDICARE:   ELLEN N. D'URSO  MA, NCC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1558551390
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN N. D'URSO MA, NCC
Provider Business Mailing Address
First Line : 220 S MAIN ST
Second Line : SUITE 306
City : BUTLER
State : PA
Zip : 16001-5987
Country : US
Telephone Number : 724-283-9436
Fax Number :
Provider Business Practice Location Address
First Line : 220 S MAIN ST
Second Line : SUITE 306
City : BUTLER
State : PA
Zip : 16001-5987
Country : US
Telephone Number : 724-283-9436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2007
Last Update Date : 07/27/2007

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Directions to “ ELLEN N. D'URSO MA, NCC” Practice Location

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