Individual
GABRIELLE AP SHIMKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BSC
Contact information
Practice address
310 VARSITY DR, THROOP, PA 18512-1446
(570) 881-9806
Mailing address
310 VARSITY DR, THROOP, PA 18512-1446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008296
PA
103K00000X
Behavior Analyst
BH003337
PA
Other
Enumeration date
03/21/2018
Last updated
02/10/2023
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