| Doctor Name: | MR. PATRICK MICHAEL CONDO |
| NPI Number: | 1497819205 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | CW000227L |
| Business Practice Address: | 8981 Norwin Ave Suite 101 Irwin, PA - 156422746 |
| Business Phone Number: | 7248643031 |
| Business Fax Number: | 7248643032 |
| Mailing Address: | 8981 Norwin Ave, Suite 101 IRWIN |
| State: | PA |
| Postal Code: | 156422746 |
| Phone Number: | 7248643031 |
| Fax Number: | 7248643032 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CW000227L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |