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Nicholas Mediate, LPC
Mental Health Counselor in Easton, Pennsylvania
NPI 1659034577

Nicholas Mediate is a Mental Health Counselor based in Easton, PA and is specialized in Mental Health. Nicholas Mediate practices in Easton, PA and has the professional credentials of LPC. The NPI Number for Nicholas Mediate is 1659034577 and holds a License No. PC013854 (Pennsylvania).

The current practice location address for Nicholas Mediate is 900 Fieldstone Trl, Easton, PA and can be reached out via phone at 570-620-6684.

Location: 900 Fieldstone Trl, Easton, PA, 18040-7486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659034577
Provider Name
Nicholas Mediate
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
900 Fieldstone Trl, Easton, PA, 18040-7486
Phone Number
570-620-6684
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC013854 01 PA STATE BOARD OF SOCIAL WORKERS, MARRIAGE & FAMILY THERAPISTS AND PROFESSIONAL COU
institution
Provider Business Practice Location Address Details
Address
900 Fieldstone Trl
City
Easton
State
Pennsylvania
Zip
18040-7486
Phone Number
570-620-6684
Fax Number
person
Provider Business Mailing Address Details
Address
900 Fieldstone Trl
City
Easton
State
Pennsylvania
Zip
18040-7486
Phone Number
570-620-6684
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PC013854 (Pennsylvania)
Definition
Definition to come...
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