Individual
HERLINDA RUIZ CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S 5TH ST, READING, PA 19602-1662
(610) 685-2188
(610) 685-2183
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 272-5464
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC009505
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034254740001
—
PA
Enumeration date
08/06/2014
Last updated
04/23/2020
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