Individual
MALISSA REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3438 ROUTE 764, DUNCANSVILLE, PA 16635-7803
(814) 944-7000
(814) 944-5071
Mailing address
3438 ROUTE 764, DUNCANSVILLE, PA 16635-7803
(814) 944-7000
(814) 944-5071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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