Provider Demographics
NPI:1316197122
Name:NARODITSKIY, ILONA (LPC)
Entity Type:Individual
Prefix:
First Name:ILONA
Middle Name:
Last Name:NARODITSKIY
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 1:82 BUCK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1751
Mailing Address - Country:US
Mailing Address - Phone:267-270-5527
Mailing Address - Fax:
Practice Address - Street 1:82 BUCK RD STE 3
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-1751
Practice Address - Country:US
Practice Address - Phone:267-270-5527
Practice Address - Fax:215-494-9246
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health