Individual
JILL LAFORME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 LAWTON LN, MILTON, PA 17847-9756
(570) 916-7853
Mailing address
463 WILLOW RD, WATSONTOWN, PA 17777-7907
(570) 916-7853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC013189
PA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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