Individual
MS. JEAN MARIE GRUBER BARZILOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, RD, LDN
Contact information
Practice address
840 MAIN ST, HONESDALE, PA 18431-1847
(570) 470-4826
Mailing address
840 MAIN ST, HONESDALE, PA 18431-1847
(470) 470-4826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008357
PA
133V00000X
Registered Dietitian
DN004646
PA
Other
Enumeration date
08/30/2011
Last updated
02/20/2017
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