Individual
COURTNEY CONDIRACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
955 BELLEFONTE AVE, LOCK HAVEN, PA 17745
(570) 748-7714
(570) 893-6325
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PS018882
PA
Other
Enumeration date
07/31/2014
Last updated
08/30/2020
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