Individual
MS. DAWN L PEECHATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACD,CRC,SAP,LPC
Contact information
Practice address
ROUTE 611, TANNERSVILLE, PA 18372
(570) 426-5191
Mailing address
PO BOX 444, TANNERSVILLE, PA 18372-0444
(570) 426-5191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC002753
PA
251S00000X
Community/Behavioral Health Agency
Primary
PC002753
PA
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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