Provider Demographics
NPI:1093271801
Name:KALNOSKAS, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KALNOSKAS
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 1:140 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENNSYLVANIA FURNACE
Mailing Address - State:PA
Mailing Address - Zip Code:16865-9712
Mailing Address - Country:US
Mailing Address - Phone:570-814-4993
Mailing Address - Fax:
Practice Address - Street 1:1315 S ALLEN ST STE 302
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5943
Practice Address - Country:US
Practice Address - Phone:570-478-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009898101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor