Individual
BRIDGET J DEFALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAADC
Contact information
Practice address
944 WASHINGTON ST, FREELAND, PA 18224-1429
(570) 436-7879
Mailing address
944 WASHINGTON ST, FREELAND, PA 18224-1429
(570) 436-7879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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