Individual
AGATHA TINA BRUNO-POEPPERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
240 TERRACE DR, BLAKELY, PA 18447-2500
(570) 575-5068
Mailing address
240 TERRACE DR, BLAKELY, PA 18447-2500
(570) 575-5068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008145
PA
Other
Enumeration date
12/01/2015
Last updated
05/01/2024
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