Organization
CARBON LEHIGH INTERMEDIATE UNIT #21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T SAVENELLI LPC (SUPERVISOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
1 INDIAN LANE, LEHIGHTON, PA 18235-1192
(610) 769-4111
(610) 769-1168
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
(610) 769-1168
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773170
—
PA
Enumeration date
06/11/2019
Last updated
06/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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