Individual
MS. SUSAN ELAINE FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC,CAC-D, SAP
Contact information
Practice address
4 S 2ND ST, SUITE 207, POTTSVILLE, PA 17901-3082
(570) 624-1148
(570) 624-1148
Mailing address
151 CAMP STRAUSS RD, BETHEL, PA 19507-9564
(570) 624-1148
(570) 624-1148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC001801
PA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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