Individual
TANJA THERESIA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA
Contact information
Practice address
1235 PENN AVE STE 206, WYOMISSING, PA 19610-2100
(610) 374-4963
Mailing address
239 4TH AVE STE 1801, PITTSBURGH, PA 15222-1716
(833) 274-4325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH003193
PA
Other
Enumeration date
01/02/2018
Last updated
02/23/2024
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