Organization
CREATIVE COUNSELING TRAUMA CENTER FOR CHILDREN AND ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M. FOX (TRAUMA THERAPIST)
(570) 288-2040
Entity
Organization
Contact information
Practice address
222 WYOMING AVE, KINGSTON, PA 18704-3503
(570) 288-2040
Mailing address
222 WYOMING AVE, KINGSTON, PA 18704-3503
(570) 288-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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