Individual
ELISE KATHRYN MECKBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1205 RIVER AVE FL 2, WILLIAMSPORT, PA 17701-3724
(570) 326-4118
(570) 326-5533
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC005997
PA
101YP2500X
Professional Counselor
Primary
PC005997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035098140001
—
PA
Enumeration date
07/14/2008
Last updated
04/26/2022
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