Individual
STEPHANIE NOVOTNY KEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CAADC
Contact information
Practice address
2421 WILLOW STREET PIKE, LANCASTER, PA 17602
(717) 464-1440
Mailing address
52 W MILLPORT RD, LITITZ, PA 17543-9324
(717) 625-3083
(717) 625-3073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4504
PA
104100000X
Social Worker
Primary
SW126453
PA
1041C0700X
Clinical Social Worker
CW016934
PA
Other
Enumeration date
12/24/2008
Last updated
08/20/2012
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