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Organization
NANTICOKE COUNSELING SERVICES PC
Active
Organization
NANTICOKE COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT KILLGORE JR. M.A. (PRESIDENT/CEO)
(570) 762-2583
Entity
Organization
Contact information
Practice address
35 E GREEN ST, NANTICOKE, PA 18634-2414
(570) 762-2583
(570) 300-2629
Mailing address
35 E GREEN ST, NANTICOKE, PA 18634-2414
(570) 762-2583
(570) 300-2629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002979
PA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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