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
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