John Nicholas Barolak Jr.

Individual provider Active NPI Professional Counselor · Coatesville, PA

NPI 1407610355 · NPPES record last updated Mar 7, 2024

Key facts

NPI
1407610355
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC016882 (PA)
Practice address
1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040
Phone
(610) 384-7711
Fax
(610) 383-0283
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
No

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
PC016882PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016882 PA Yes

Addresses

Primary practice location

1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040

Mailing address

114 Park Ave
Ephrata, PA 17522-2020
Phone (717) 681-4515

Other providers in Coatesville, PA

All providers in Coatesville, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.