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Provider Information for 1881002624


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RCG COUNSELING

Organization Subpart: NO

NPI: 1881002624
Last Updated: 2014-07-24
Certification Date:

Details

NameValue
NPI1881002624
Enumeration Date2014-07-24
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Ms. CARMEN CONSUELA GARRISON LPC
Title: owner/counselor
Phone: 6102585000
Mailing Address 417 CATTELL ST
EASTON, PA 18042-1703
United States

Phone: 610-258-5000 | Fax:
 
Primary Practice Address 417 CATTELL ST
EASTON, PA 18042-1703
United States

Phone: 610-258-5000 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193200000X - Multi-Specialty Group
101YP2500X - Counselor - Professional
PAPC007689