Individual
JACK H TRUSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD/LPC
Contact information
Practice address
79 S COURTLAND ST, EAST STROUDSBURG, PA 18301-2865
(570) 350-1796
(570) 620-2131
Mailing address
127 KETTLE RIDGE DR, STROUDSBURG, PA 18360-7131
(570) 350-1796
(570) 620-2131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC002535
PA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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