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Individual

LARISSA MORGAN FERNSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
930 N 9TH ST, STROUDSBURG, PA 18360-1208
(570) 629-4900
Mailing address
110 CHESTNUT HILL RD, SHOHOLA, PA 18458-4327

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13215
PA

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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