Provider Demographics
NPI:1790061083
Name:SVADEBA-CUMMINGS, SLOAN A (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SLOAN
Middle Name:A
Last Name:SVADEBA-CUMMINGS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:SLOAN
Other - Middle Name:A
Other - Last Name:SVADEBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, NCC
Mailing Address - Street 1:422 W ATHERTON ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:PA
Mailing Address - Zip Code:18517-1908
Mailing Address - Country:US
Mailing Address - Phone:570-677-7730
Mailing Address - Fax:
Practice Address - Street 1:121 MOOSIC RD
Practice Address - Street 2:
Practice Address - City:OLD FORGE
Practice Address - State:PA
Practice Address - Zip Code:18518-2082
Practice Address - Country:US
Practice Address - Phone:570-677-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional