Individual
MRS. AMBER DIACK KRESOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 S SPRING ST, BELLEFONTE, PA 16823
(814) 933-5335
(814) 470-8744
Mailing address
138 ARCHERS GLEN RD, BELLEFONTE, PA 16823-6457
(814) 571-6620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC007780
LPC LICENSE
PA
Enumeration date
06/26/2007
Last updated
10/19/2022
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