Individual
TYESE LORRAINE AUNGST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
241 N 13TH ST, EASTON, PA 18042-3211
(610) 253-2500
Mailing address
PO BOX 442, STOCKERTOWN, PA 18083-0442
(484) 353-4076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8881
PA
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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