Individual
MRS. ANTONIA VASILAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS ATR BC LPC
Contact information
Practice address
2421 WILLOW STREET PIKE, WILLOW STREET, PA 17584
(717) 464-1450
(717) 464-0890
Mailing address
2421 WILLOW STREET PIKE, WILLOW STREET, PA 17584
(717) 464-1450
(717) 464-0890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC003621
DEPT OF ST BUREAU OF PROF
PA
Enumeration date
06/16/2006
Last updated
07/08/2007
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