| NPI | 1982034047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESARUS Q. KENNEY Co Owner/ Therapist 412-607-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019153) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2018-03-07 |