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Organization
KEYSTONE COUNSELING AND EVALUATION SERVICES
Active
Organization
KEYSTONE COUNSELING AND EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SANTUCCI (COO)
(570) 748-7173
Entity
Organization
Contact information
Practice address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Mailing address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC 002227
PA
101YP2500X
Professional Counselor
PC002741
PA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
CW019892
PA
2084P0800X
Psychiatry Physician
MD051832L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD051832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026826640002
—
PA
Enumeration date
08/05/2010
Last updated
01/16/2023
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