Authentic Self Counseling LLC
Counselor, Professional in Roseto, PA. Organization (NPI-2).
NPI number1194608570
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1194608570
- Entity type
- Organization (NPI-2)
- Legal business name
- Authentic Self Counseling LLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2025
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
519 Calviero CtRoseto, PA 18013-1244
Phone 610-844-7191
Mailing address
519 Calviero CtRoseto, PA 18013-1244
Phone 610-844-7191
Authorized official
Dana Lynn Mariano
Owner
6108447191
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