Organization
GENA PATACKAS LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENA THERESE PATACKAS LPC (LICENSED PROFESSIONAL COUNSELOR)
(570) 382-3122
Entity
Organization
Contact information
Practice address
1005 MAIN ST STE 3, PECKVILLE, PA 18452-2166
(570) 382-3122
Mailing address
1005 MAIN ST STE 3, PECKVILLE, PA 18452-2166
(570) 382-3122
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
03/13/2025
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