Doctor Name: | MICHAEL KENNEDY PECOSH |
NPI Number: | 1861697856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., NCC, LPC |
License Number: | PC004605 |
Business Practice Address: | 2155 Park Ave Suite 250 Washington, PA - 153018160 |
Business Phone Number: | 7242492829 |
Business Fax Number: | 7242069222 |
Mailing Address: | 2155 Park Ave, Suite 250 WASHINGTON |
State: | PA |
Postal Code: | 153018160 |
Phone Number: | 7242492829 |
Fax Number: | 7242069222 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC004605 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |