| PROVIDER | NAME | ||||||||
| 089401 | Allenbaugh, William | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 15660000 | Community Counseling | 5038 | 38 | Y | 1/1/2003 | 06/30/10 | 63.00 | Hour | 1566 |
| 15660000 | Community Counseling | 5035 | 35 | Y | 1/1/2003 | 06/30/10 | 63.00 | Hour | 1566 |