Individual
AMANDA NICOLE MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
406 N STATE ST, CLARKS SUMMIT, PA 18411-1062
(570) 316-6326
Mailing address
1251 WYOMING AVE, EXETER, PA 18643-1434
(570) 335-1612
(570) 299-2521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012684
PA
Other
Enumeration date
09/21/2020
Last updated
05/22/2023
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