JODY RISCEN

BREINIGSVILLE, PA
NPI1386465714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00113500)
Enumeration Date2024-10-18
Last Update Date2024-10-18
Business Address
JODY RISCEN LCADC
1063 MOSSER RD APT S205
BREINIGSVILLE, PA 18031-1395
Phone number: 570-236-4581
Mailing Address
JODY RISCEN LCADC
1063 MOSSER RD APT S205
BREINIGSVILLE, PA 18031-1395
Phone number: 570-236-4581
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