Individual
DANIELLE LUSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3 KENSINGTON SQ, NEW KENSINGTON, PA 15068-6443
(878) 847-7179
(878) 847-7180
Mailing address
3 KENSINGTON SQ, NEW KENSINGTON, PA 15068-6443
(878) 847-7179
(878) 847-7180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC016800
PA
Other
Enumeration date
07/05/2021
Last updated
05/10/2024
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