Individual
ALLYSON NICHOLE VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 904-7363
(570) 348-4079
Mailing address
1169 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 904-7363
(570) 348-4079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014058
PA
Other
Enumeration date
01/25/2022
Last updated
01/28/2025
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