Individual
JENNIFER RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 TIOGA AVE, KINGSTON, PA 18704-5117
(570) 718-4669
Mailing address
368 TIOGA AVE, KINGSTON, PA 18704-5117
(570) 718-4669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003627
PA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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