Individual
MRS. LINDA ROSE KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ATR-BC
Contact information
Practice address
214 W WALNUT ST, HAZLETON, PA 18201-6280
(570) 455-1521
Mailing address
214 W WALNUT ST, HAZLETON, PA 18201-6280
(570) 455-1521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004750
PA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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