Individual
DR. JENNIFER MISUNAS BUCKWASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
400 3RD AVE STE 218, KINGSTON, PA 18704-5816
(570) 574-4368
Mailing address
1027 SUNRISE DR, YATESVILLE, PA 18640-3778
(570) 574-4368
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008355
PA
Other
Enumeration date
08/19/2015
Last updated
09/10/2018
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