Individual provider · Type 1 NPI
Kimberly A. Portanova
Mental Health Counselor · Clarks Summit, PA
NPI number
1326474610
Active
Practice location
104 Grandview St
Clarks Summit, PA 18411-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC008071 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1326474610
Kimberly A. Portanova's National Provider Identifier is 1326474610, issued on Sep 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarks Summit, PA. The record was last updated on Feb 24, 2025.