Individual
CHARLENE DERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
163 PLAZA RD, INDIANA, PA 15701-3264
(724) 465-2311
(724) 465-2339
Mailing address
163 PLAZA RD, INDIANA, PA 15701-3264
(724) 465-2311
(724) 465-2339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
04/11/2023
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