Individual provider · Type 1 NPI

Michaela J. Detrick, LPC, CAADC

Professional Counselor · Williamsport, PA

NPI number 1144990961 Active

Practice location

1521 Washington Blvd
Williamsport, PA 17701-5426

Call (570) 322-5051 Map

Fax (570) 322-6788

Mailing address

716 N Loyalsock Ave
Montoursville, PA 17754-1022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPC013722 (PA)
Professional Counselor Primary 101YP2500XPC013722 (PA)
Addiction (Substance Use Disorder) Counselor 101YA0400X10091 (PA)

Professional Counselor: Definition to come...

11 other providers at this address

Other professional counselor providers in Williamsport

See all in Williamsport →

About NPI 1144990961

Michaela J. Detrick, LPC, CAADC's National Provider Identifier is 1144990961, issued on Sep 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Williamsport, PA. The record was last updated on Sep 14, 2021.