Individual
ANTOINETTE TERRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PC
Contact information
Practice address
22 CAREY LN, PITTSTON, PA 18640-3224
(570) 883-1042
Mailing address
22 CAREY LN, PITTSTON, PA 18640-3224
(570) 883-1042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002943
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC002943
LICENSED COUNSELOR
PA
Enumeration date
08/21/2007
Last updated
08/21/2007
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