Connelly, Michael John

Connelly, Michael John is an sole proprietor health care provider with primary practice located at 22 Wabash St , Pittsburgh PA 15220-5436. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Connelly, Michael John can be contacted via phone (412) 894-8222.

Contact Information

Primary practice address
22 Wabash St Pittsburgh PA 15220-5436
Phone: (412) 894-8222
Fax: (412) 223-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004578 Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC004578 Pennsylvania

Profile Details

NPI number 1942405345
LBN Legal business name Connelly, Michael John
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Feb 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942405345 NPPES
Pennsylvania Other 202089 NCC NUMBER
Pennsylvania Other PC004578 NCC NUMBER

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