MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10120
Change Report (if Any):

Short Name: VALLEY COUNSEL

Long Name 1: VALLEY COUNSELING SERVICES INC
Long Name 2:

Address 1: 150 EAST MARKET STREET
Address 2:

City: WARREN
Zip Code: 44481
County: TRUM

Contact: PAUL CHANEY
Title:
Phone: 3303946244
FAX: 3303946233

Vendor: 10120

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012