Provider Demographics
NPI:1740558907
Name:PRESCOTT, MARY K (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:K
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4648 DRUCK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406
Mailing Address - Country:US
Mailing Address - Phone:717-808-6407
Mailing Address - Fax:717-840-8792
Practice Address - Street 1:1120 RANGE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-8303
Practice Address - Country:US
Practice Address - Phone:717-808-6407
Practice Address - Fax:717-840-8792
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001121101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional