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Organization

LIFEGROWTH MARRIAGE AND FAMILY CENTER

Active
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Organization

LIFEGROWTH MARRIAGE AND FAMILY CENTER

Active
Other names
Lifegrowth Marriage and Family Center
Organization subpart
No

Provider details

NPI number
Authorized official
GIANNINA KATHERINE REYES LPC (CLINICAL DIRECTOR)
(484) 400-0445
Entity
Organization

Contact information

Practice address
5 S CENTRE AVE, LEESPORT, PA 19533-8653
(484) 400-0445
Mailing address
1750 HAMPDEN BLVD, READING, PA 19604-1604
(484) 400-0445

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/28/2019
Last updated
12/04/2019
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