Paul Eugene Connors Jr., LPC

Individual provider Active NPI Professional Counselor · Brookville, PA

NPI 1114607488 · NPPES record last updated Jul 26, 2023

Key facts

NPI
1114607488
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC015956 (PA)
Practice address
257 Main St Ste B
Brookville, PA 15825-1280
Phone
(814) 715-3444
NPI assigned
Jul 21, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC015956PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling & Consulting Professional Current
since Jul 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015956 PA Yes

Addresses

Primary practice location

257 Main St Ste B
Brookville, PA 15825-1280

Mailing address

90 Summit St
Brookville, PA 15825-1431
Phone (814) 715-3444

Other providers in Brookville, PA

All providers in Brookville, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.