Individual
DENISE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 E ELIZABETH AVE STE 31, BETHLEHEM, PA 18018-6505
(610) 419-1612
Mailing address
PO BOX 3086, BETHLEHEM, PA 18017-0086
(610) 419-1612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013020
PA
Other
Enumeration date
09/01/2017
Last updated
02/19/2022
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