Individual
PAUL JAMES MCDONOUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
118 MONAHAN AVENUE, DUNMORE, PA 18509
(570) 344-0183
Mailing address
456 HORTON STREET, WILKES BARRE, PA 18702
(570) 371-1561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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