Organization
KALEIDOSCOPE OF LIFE COUNSELING
Active
Organization
KALEIDOSCOPE OF LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLA LYNN PODA-HENRY LPC (OWER/PSYCHOTHERAPIST)
(570) 789-3599
Entity
Organization
Contact information
Practice address
183 S TULPEHOCKEN ST, PINE GROVE, PA 17963-1067
(570) 789-3599
Mailing address
183 S TULPEHOCKEN ST, PINE GROVE, PA 17963-1067
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PC005421
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PC005421
PA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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