Individual
AMANDA MARIE KELLER-KOCUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
Mailing address
4145 STEEPLE CHASE DR, READING, PA 19606-9010
(610) 763-4665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012003
PA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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