Individual
JANA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CCS, CAADC
Contact information
Practice address
109 BROADWAY, BANGOR, PA 18013-2505
(610) 599-7700
Mailing address
109 BROADWAY, BANGOR, PA 18013-2505
(610) 599-7700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4757
PA
101YP2500X
Professional Counselor
Primary
PC004440
PA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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