person
William R Killgore JR., LPC
Professional Counselor in Nanticoke, Pennsylvania
NPI 1639221237

William R Killgore JR. is a Professional Counselor based in Nanticoke, PA and is specialized in Professional. William R Killgore JR. practices in Nanticoke, PA and has the professional credentials of LPC. The NPI Number for William R Killgore JR. is 1639221237 and holds a License No. PC002979 (Pennsylvania).

The current practice location address for William R Killgore JR. is 35 E Green St, Nanticoke, PA and can be reached out via phone at 570-762-2583 and via fax at 570-300-2629.

Location: 35 E Green St, Nanticoke, PA, 18634-2414
person
Provider Profile Details
NPI Number
1639221237
Provider Name
William R Killgore JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
35 E Green St, Nanticoke, PA, 18634-2414
Phone Number
570-762-2583
Fax Number
570-300-2629
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
587349000 01 PA MAGELLAN BEHAVIORAL HEALT
institution
Provider Business Practice Location Address Details
Address
35 E Green St
City
State
Zip
18634-2414
Phone Number
570-762-2583
Fax Number
570-300-2629
person
Provider Business Mailing Address Details
Address
35 E Green St
City
State
Zip
18634-2414
Phone Number
570-762-2583
Fax Number
570-300-2629
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC002979 (Pennsylvania)
Definition
Definition to come...
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