Organization Name: | BRYLON COUNSELING AND CONSULTING SERVICES, LLC |
NPI Number: | 1033439526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE LITZINGER (PSYCHOTHERAPIST) |
Mailing Address: | 2311 Fairfield Rd Ste F2 Gettysburg |
State: | PA US |
Postal Code: | 173256309 |
Phone Number: | 7178171093 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2010 |
NPI Last Update Date: | 06/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |