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Individual

MARIKA SIAN HORACEK-KUNKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC, LPC

Contact information

Practice address
122 W LANCASTER AVE, SHILLINGTON, PA 19607-1881
(484) 509-0499
Mailing address
3531 EARL ST, READING, PA 19605-1949
(917) 913-6174

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC012189
PA
221700000X
Art Therapist
Primary
17-132
PA

Other

Enumeration date
04/28/2020
Last updated
04/28/2020
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