Provider Demographics
NPI:1003560525
Name:JUNGE, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:JUNGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 HAMSHER AVE
Mailing Address - Street 2:
Mailing Address - City:TOPTON
Mailing Address - State:PA
Mailing Address - Zip Code:19562-1746
Mailing Address - Country:US
Mailing Address - Phone:610-451-4898
Mailing Address - Fax:
Practice Address - Street 1:1401 N CEDAR CREST BLVD STE 75
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2307
Practice Address - Country:US
Practice Address - Phone:484-619-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC0165020101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional