Derek Ciaruffoli, LPC

NPI #1912312810 in Kingston, Pennsylvania

Provider Information

NPI Number: 1912312810
Entity Type: Individual
Name: Derek Ciaruffoli, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Jun 30, 2014
Last Updated: Nov 29, 2016

Practice Location

Address: 675 WYOMING AVE
Address 2: SUITE B
City: Kingston
State: Pennsylvania
ZIP Code: 18704-3831
Phone: (570) 406-9350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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