Individual provider · Type 1 NPI
Kisa A. Pentarek
Professional Counselor · Everson, PA
NPI number
1497426142
Active
Practice location
329 Brown St
Everson, PA 15631-1001
Mailing address
PO Box 121
Everson, PA 15631-0121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC013680 (PA) |
Professional Counselor: Definition to come...
About NPI 1497426142
Kisa A. Pentarek's National Provider Identifier is 1497426142, issued on Sep 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Everson, PA. The record was last updated on Sep 22, 2021.