Individual
LAURA THOMAS CHICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
400 3RD AVE STE 206, KINGSTON, PA 18704-5816
(570) 392-6611
Mailing address
306 LUZERNE AVE, WEST PITTSTON, PA 18643-2234
(570) 877-3808
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC003592
PA
Other
Enumeration date
01/11/2007
Last updated
04/15/2024
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