Lifegrowth Marriage and Family Center
NPI #1770047359 in Leesport, Pennsylvania
Provider Information
- NPI Number
- 1770047359
- Entity Type
- Organization
- Organization Name
- Lifegrowth Marriage and Family Center
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 28, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 5 S CENTRE AVE
- City
- Leesport
- State
- Pennsylvania
- ZIP Code
- 19533-8653
- Phone
- (484) 400-0445
Authorized Official
- Name
- GIANNINA KATHERINE REYES, LPC
- Title
- CLINICAL DIRECTOR
- Phone
- (484) 400-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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