Individual
KRISTYN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CAADC
Contact information
Practice address
100 HENRY ST, SAYRE, PA 18840-2909
(570) 731-5434
Mailing address
526 W CHURCH ST, ELMIRA, NY 14905-2526
(607) 368-3647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
097079
NY
1041C0700X
Clinical Social Worker
Primary
CW020742
PA
Other
Enumeration date
02/03/2016
Last updated
08/15/2019
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