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Individual

JOHN CHUMA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
618 CUMBERLAND STREET, LEBANON, PA 17042-5232
(717) 277-4274
(717) 277-5405
Mailing address
200 N 7TH STREET, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
PS017440
PA
106H00000X
Marriage & Family Therapist
47128
CA

Other

Enumeration date
09/20/2006
Last updated
11/19/2013
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