Provider Demographics
NPI:1053862722
Name:BEDNARCZYK, SERENA (LPC)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:BEDNARCZYK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 PINE ST APT 203
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-4577
Mailing Address - Country:US
Mailing Address - Phone:484-809-5218
Mailing Address - Fax:
Practice Address - Street 1:323 PINE ST APT 203
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4577
Practice Address - Country:US
Practice Address - Phone:484-809-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011552101YM0800X
NJ37PC00765400101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health