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Individual

TASHA LYN ISAAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
645 PENN ST FL 2, READING, PA 19601-3543
(610) 373-4281
(610) 373-3779
Mailing address
645 PENN ST FL 2, READING, PA 19601-3543
(610) 373-4281
(610) 373-3779

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
232043478
PA
Enumeration date
04/02/2019
Last updated
04/02/2019
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