William R Killgore Jr., LPC
Counselor, Professional in Nanticoke, PA. Individual provider (NPI-1).
NPI number1639221237
StatusActive
Last updated in NPPESMay 4, 2015
Details
- NPI
- 1639221237
- Entity type
- Individual (NPI-1)
- Name
- William R Killgore Jr.
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2007
- Last updated
- May 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC002979 | PA | Yes |
Practice location
35 E Green StNanticoke, PA 18634-2414
Phone 570-762-2583 · Fax 570-300-2629
Mailing address
35 E Green StNanticoke, PA 18634-2414
Phone 570-762-2583 · Fax 570-300-2629
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