Individual
DANIELLE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1707
(570) 346-3686
Mailing address
1900 LAYTON RD, SCOTT TOWNSHIP, PA 18447-7810
(570) 904-1834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015208
PA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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