Individual
COLEEN ELIZABETH KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
90 S COMMERCE WAY STE 300, BETHLEHEM, PA 18017-8611
(610) 691-8401
(610) 691-0647
Mailing address
174 ASTER ST, NAZARETH, PA 18064-1060
(484) 903-9409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010376
PA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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