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Glade Run Lutheran Services
Mental Health Counselor in Zelienople, Pennsylvania
NPI 1649387192

Glade Run Lutheran Services is a Mental Health Counselor based in Zelienople, PA and is specialized in Mental Health. Glade Run Lutheran Services practices in Zelienople, PA. The NPI Number for Glade Run Lutheran Services is 1649387192 and holds a License No. 403080 (Pennsylvania).

The current practice location address for Glade Run Lutheran Services is Beaver Road, Zelienople, PA and can be reached out via phone at 734-452-4453 and via fax at 724-452-6576.

Location: Beaver Road, Zelienople, PA, 16063-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649387192
Provider Name
Glade Run Lutheran Services
Credential
Provider Entity Type
Organization
Address
Beaver Road, Zelienople, PA, 16063-0070
Phone Number
734-452-4453
Fax Number
724-452-6576
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100754254-0001 05 PA
institution
Provider Business Practice Location Address Details
Address
Beaver Road
City
Zelienople
State
Pennsylvania
Zip
16063-0070
Phone Number
734-452-4453
Fax Number
724-452-6576
person
Provider Business Mailing Address Details
Address
Beaver Road
City
Zelienople
State
Pennsylvania
Zip
16063-0070
Phone Number
734-452-4453
Fax Number
724-452-6576
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
403080 (Pennsylvania)
Definition
Definition to come...
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