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Individual

EUGENA PATACKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LBS LPC NCC

Contact information

Practice address
106 COLBURN AVE, CLARKS SUMMIT, PA 18411-1569
(570) 687-7495
Mailing address
717 E PINE ST, OLYPHANT, PA 18447-1934
(570) 687-7495

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
07/03/2015
Last updated
11/04/2015
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