Individual
AUDREY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
21 POPLAR LN, HUNLOCK CREEK, PA 18621-5037
(570) 974-4653
Mailing address
21 POPLAR LN, HUNLOCK CREEK, PA 18621-5037
(570) 974-4653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC018456
PA
Other
Enumeration date
03/14/2023
Last updated
08/13/2025
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