Individual
ANDREA ROSE TARANTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 HURON AVE, RENOVO, PA 17764-1142
(570) 660-8171
Mailing address
926 HURON AVE, RENOVO, PA 17764-1142
(570) 660-8171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015647
PA
Other
Enumeration date
03/09/2021
Last updated
08/03/2023
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