Individual
REBECCA MCKEIRNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.S.W.
Contact information
Practice address
705 WASHINGTON BLVD STE 100, WILLIAMSPORT, PA 17701-5355
(570) 321-6390
Mailing address
705 WASHINGTON BLVD STE 100, WILLIAMSPORT, PA 17701-5355
(570) 321-6390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
SW128834
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777700036
—
PA
Enumeration date
10/25/2010
Last updated
04/27/2023
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