Individual
AMANDA GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
311 PENN AVE, SCRANTON, PA 18503-1211
(570) 800-1963
Mailing address
311 PENN AVE, SCRANTON, PA 18503-1211
(570) 800-1963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011446
PA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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