Kisa A Pentarek

NPI #1497426142 in Everson, Pennsylvania

Provider Information

NPI Number: 1497426142
Entity Type: Individual
Name: Kisa A Pentarek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 22, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 329 BROWN ST
City: Everson
State: Pennsylvania
ZIP Code: 15631-1001
Phone: (724) 757-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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