| Mandy Doria, Lpc, Llc | |
|
327 N Washington Ave Suite 601 Scranton PA 18503-1549 | |
| (570) 650-6450 | |
| Not Available |
| Full Name | Mandy Doria, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 327 N Washington Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Amanda Doria Ellard (OWNER, COUNSELOR) |
| Authorized Official Contact | 5706506450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Doria, Lpc, Llc 327 N Washington Ave Suite 601 Scranton PA 18503-1549 Ph: (570) 650-6450 | Mandy Doria, Lpc, Llc 327 N Washington Ave Suite 601 Scranton PA 18503-1549 Ph: (570) 650-6450 |
| NPI Number | 1023552908 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023552908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC007053 (Pennsylvania) | Primary |
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