Provider Demographics
NPI:1306443247
Name:FORCE, JOHN R JR (LPC, CAADC, NCC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:FORCE
Suffix:JR
Gender:M
Credentials:LPC, CAADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 PLUM ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2626
Mailing Address - Country:US
Mailing Address - Phone:484-951-8144
Mailing Address - Fax:
Practice Address - Street 1:920 WATER STREET
Practice Address - Street 2:DOWNTOWN MALL
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335
Practice Address - Country:US
Practice Address - Phone:814-724-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012693101YP2500X
PA15230101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)