Individual
JOSEPH R. WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., C.A.C., L.P.C.
Contact information
Practice address
1002 PITTSTON AVE, SCRANTON, PA 18505-4169
(570) 344-2676
(570) 344-6794
Mailing address
1002 PITTSTON AVE., SCRANTON, PA 18505
(570) 344-2676
(570) 344-6794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003225
PA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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