MEDICARE: KAUFMAN COUNSELING ASSOCIATES

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	101YM0800X	Mental Health Counselor	CW000376	PA

General Provider Information

NPI Number	:	1568592269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAUFMAN COUNSELING ASSOCIATES

Provider Business Mailing Address
First Line	:	904 HIGH ST
Second Line	:
City	:	AKRON
State	:	PA
Zip	:	17501-1420
Country	:	US
Telephone Number	:	717-859-3908
Fax Number	:	717-859-5659

Provider Business Practice Location Address
First Line	:	904 HIGH ST
Second Line	:
City	:	AKRON
State	:	PA
Zip	:	17501-1420
Country	:	US
Telephone Number	:	717-859-3908
Fax Number	:	717-859-5659

Authorized Official
Title or Position	:	COUNSELOR
Name	:	GERALD W KAUFMAN
Credential	:	LCSW
Telephone Number	:	717-859-3908

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/22/2020

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