Provider Demographics
NPI:1194950758
Name:WARD, JOSEPH L (NCC, LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:WARD
Suffix:
Gender:M
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3759 BUSINESS 220
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1130
Mailing Address - Country:US
Mailing Address - Phone:814-623-1212
Mailing Address - Fax:814-285-3023
Practice Address - Street 1:3759 BUSINESS 220
Practice Address - Street 2:SUITE 101
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1130
Practice Address - Country:US
Practice Address - Phone:814-623-1212
Practice Address - Fax:814-285-3023
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional