Doctor Name: | MRS. LARISSA PAIGE SCHWASS |
NPI Number: | 1457631335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,NCC,LPC |
License Number: | PC006002 |
Business Practice Address: | 851 Commerce Blvd Ste 107 Dickson City, PA - 185191762 |
Business Phone Number: | 5704895561 |
Business Fax Number: | 5704895563 |
Mailing Address: | 851 Commerce Blvd Ste 107, DICKSON CITY |
State: | PA |
Postal Code: | 185191762 |
Phone Number: | 5704895561 |
Fax Number: | 5704895563 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC006002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |