Organization
MANDY DORIA, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DORIA ELLARD LPC (OWNER, COUNSELOR)
(570) 650-6450
Entity
Organization
Contact information
Practice address
327 N WASHINGTON AVE, SUITE 601, SCRANTON, PA 18503-1549
(570) 650-6450
Mailing address
327 N WASHINGTON AVE, SUITE 601, SCRANTON, PA 18503-1549
(570) 650-6450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007053
PA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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