Individual
DENI VASILATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATR-BC, LPC
Contact information
Practice address
2009 MACKENZIE WAY, CRANBERRY TOWNSHIP, PA 16066-5332
(724) 814-9708
Mailing address
1015 SEBRING RD, BEAVER, PA 15009-9387
(724) 774-3221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC002404
PA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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