Organization
SUSQUEHANNA COUNSELING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHOVLIN M.A. (PRESIDENT)
(570) 283-1600
Entity
Organization
Contact information
Practice address
400 3RD AVE BLDG SUITE211, KINGSTON, PA 18704-5816
(570) 283-1600
(570) 283-5515
Mailing address
400 3RD AVE BLDG SUITE211, KINGSTON, PA 18704-5816
(570) 283-1600
(570) 283-5515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4657272
AETNA
—
01
—
SU539129
BLUE CROSS GROUP #
PA
Enumeration date
08/30/2006
Last updated
05/13/2025
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