Individual
SUSAN MUMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N MAIN ST, SELLERSVILLE, PA 18960-2385
(215) 872-4219
Mailing address
203 N MAIN ST, P.O. BOX 62, SELLERSVILLE, PA 18960-2385
(215) 872-4219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERTIFICATION 100087
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERTIFICATION 2777
PA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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