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Provider Information for 1063134195


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DEBRA COSENTINO LPC


Other Names:  
Other Name: 
DEBBIE COSENTINO

Gender: Female

NPI: 1063134195
Last Updated: 2023-02-02
Certification Date: 2023-02-02

Details

NameValue
NPI1063134195
Enumeration Date2022-09-15
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 726 CHAPMAN LAKE RD
SCOTT TOWNSHIP, PA 18433-7727
United States

Phone: 570-807-1378 | Fax:
 
Primary Practice Address 1945 LAKEPOINTE DR
LEWISVILLE, TX 75057-6469
United States

Phone: 888-688-9296 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumber
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor PAPC014801