Individual
CONSETTA ANTOINETTE CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1159 BUNKER HILL RD, MIDDLETOWN, DE 19709-9798
(814) 952-6788
Mailing address
305 MITCHELL AVE, PUNXSUTAWNEY, PA 15767-1429
(814) 952-6788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011741
DE
Other
Enumeration date
07/22/2022
Last updated
10/24/2024
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