Individual provider · Type 1 NPI

Kelly A. Roughgarden, LPC

Professional Counselor · Moosic, PA

NPI number 1750949384 Active

Practice location

340 Montage Mountain Rd
Moosic, PA 18507-1707

Mailing address

1535 Quincy Ave
Dunmore, PA 18509-2503

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1750949384

Kelly A. Roughgarden, LPC's National Provider Identifier is 1750949384, issued on May 29, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moosic, PA. The record was last updated on May 29, 2019.