Individual
GIANNINA K. REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5 S CENTRE AVE, LEESPORT, PA 19533-8653
(484) 578-9796
Mailing address
5213 ALLENTOWN PIKE, TEMPLE, PA 19560-1213
(484) 578-9796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010051
PA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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