Provider Demographics
NPI:1346603800
Name:DARLENE GARCIA-JOHNSON LLC
Entity Type:Organization
Organization Name:DARLENE GARCIA-JOHNSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:ESTER
Authorized Official - Last Name:GARCIA-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-230-7629
Mailing Address - Street 1:28 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1567
Mailing Address - Country:US
Mailing Address - Phone:570-230-7629
Mailing Address - Fax:570-522-9308
Practice Address - Street 1:28 N 2ND ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1567
Practice Address - Country:US
Practice Address - Phone:570-230-7629
Practice Address - Fax:570-522-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty