Individual
JILLIAN DENISE MISHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 DAVIS ST, CLARKS SUMMIT, PA 18411-1837
(570) 575-9086
Mailing address
411 DAVIS ST, CLARKS SUMMIT, PA 18411-1837
(570) 575-3765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011518
PA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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