Individual
ISAIAH CUMBERBATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 489-5561
Mailing address
215 N REBECCA AVE, SCRANTON, PA 18504-3433
(570) 614-9223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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