Doctor Name: | MS. LORI KONITSKY CHAPLICK |
NPI Number: | 1851665715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 5 S Centre Ave Suite A5 Leesport, PA - 195338653 |
Business Phone Number: | 2159398429 |
Business Fax Number: | 6109269179 |
Mailing Address: | 50 Moorenoll St, SCHUYLKILL HAVEN |
State: | PA |
Postal Code: | 179722019 |
Phone Number: | 5703851304 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2012 |
NPI Last Update Date: | 06/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |