Organization Name: | VAN INGEN COUNSELING LLC |
NPI Number: | 1285819987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE VAN INGEN (PRESIDENT) |
Mailing Address: | 217 E Main St Suite 1 Evans City |
State: | PA US |
Postal Code: | 160331261 |
Phone Number: | 7245383103 |
Fax Number: | |
NPI Enumeration Date: | 01/01/2008 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |