Individual
THOMAS JAMES KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
109 BROADWAY, BANGOR, PA 18013-2505
(610) 599-7700
Mailing address
109 BROADWAY, BANGOR, PA 18013-2505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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