Individual
MS. DEBRA A PAVLICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
480 PIERCE ST, NEW BRIDGE CENTER, SUITE 206, KINGSTON, PA 18704-5512
(570) 814-0808
Mailing address
480 PIERCE ST, NEW BRIDGE CENTER, SUITE 206, KINGSTON, PA 18704-5512
(570) 814-0808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005761
PA
Other
Enumeration date
07/23/2012
Last updated
08/27/2012
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