Provider Demographics
NPI:1396883583
Name:COUNSELING ALTERNATIVES GROUP, INC
Entity type:Organization
Organization Name:COUNSELING ALTERNATIVES GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MAURIN
Authorized Official - Last Name:FONASH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:814-231-0940
Mailing Address - Street 1:444 E COLLEGE AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-5558
Mailing Address - Country:US
Mailing Address - Phone:814-231-0940
Mailing Address - Fax:814-231-4702
Practice Address - Street 1:444 E COLLEGE AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5558
Practice Address - Country:US
Practice Address - Phone:814-231-0940
Practice Address - Fax:814-231-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA147021101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty