| NPI | 1710435359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA K ALLEN Lpc, Owner 570-673-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008186) |
| Additional Taxonomies | 251S00000X (Licence: PA PC008186) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-12-28 |