Kira Marie Pokrivsak
Counselor, Professional in Wind Gap, PA. Individual provider (NPI-1).
NPI number1760195960
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1760195960
- Entity type
- Individual (NPI-1)
- Name
- Kira Marie Pokrivsak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2023
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC015066 | PA | Yes |
Practice location
16 S Broadway Ste 2Wind Gap, PA 18091-1431
Phone 610-863-5035
Mailing address
80 Schoeneck AveNazareth, PA 18064-1216
Phone 484-866-3838
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