Individual
JONATHAN LASTOVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 W CAREY ST, PLAINS, PA 18705-1524
(570) 550-1913
Mailing address
58 WILLIAM ST, PLAINS, PA 18705-2029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011831
PA
Other
Enumeration date
01/11/2021
Last updated
12/31/2025
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