Individual
BETHANY M LUKBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
22 STATE RD, MEDIA, PA 19063-1442
(267) 259-6665
Mailing address
22 STATE RD, MEDIA, PA 19063-1442
(267) 259-6665
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000573
PA
Other
Enumeration date
06/23/2010
Last updated
09/29/2022
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