Individual
CHRISTINE DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 397-0045
Mailing address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 397-0045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC008085
PA
Other
Enumeration date
04/09/2015
Last updated
11/02/2015
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