institution
Mane Difference Counseling Services Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Canonsburg, Pennsylvania
NPI 1477104123

Mane Difference Counseling Services Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Washington, PA and is specialized in Mental Health (Including Community Mental Health Center). Mane Difference Counseling Services Llc practices in Canonsburg, PA. The NPI Number for Mane Difference Counseling Services Llc is 1477104123 and holds a License No. (Pennsylvania).

The current practice location address for Mane Difference Counseling Services Llc is 2400 Ansys Dr Ste 102, Canonsburg, PA and can be reached out via phone at 412-513-9108 and via fax at 724-597-2001.

Location: 2400 Ansys Dr Ste 102, Canonsburg, PA, 15301-5227
institution
Provider Profile Details
NPI Number
1477104123
Provider Name
Mane Difference Counseling Services Llc
Credential
Provider Entity Type
Organization
Address
2400 Ansys Dr Ste 102, Canonsburg, PA, 15301-5227
Phone Number
412-513-9108
Fax Number
724-597-2001
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04217611 01 BLUE CROSS BLUE SHIELD - HIGHMARK
5711734 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
2400 Ansys Dr Ste 102
City
State
Zip
15317-0403
Phone Number
412-513-9108
Fax Number
724-597-2001
person
Provider Business Mailing Address Details
Address
2400 Ansys Dr Ste 102
City
State
Zip
15317-0403
Phone Number
412-513-9108
Fax Number
724-597-2001
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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