Individual
CHRISTINE JULIE BONCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS
Contact information
Practice address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 955-6556
Mailing address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 955-6556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011993
PA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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