Individual
AMY DIRENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1327 POTTSVILLE ST, POTTSVILLE, PA 17901-3844
(570) 573-3634
Mailing address
1327 POTTSVILLE ST, POTTSVILLE, PA 17901-3844
(570) 573-3634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH001568
PA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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