Provider Demographics
NPI:1013154178
Name:KORESKO, HEEYOUNG JANE (PHD, MA, LMFT)
Entity Type:Individual
Prefix:DR
First Name:HEEYOUNG
Middle Name:JANE
Last Name:KORESKO
Suffix:
Gender:F
Credentials:PHD, MA, LMFT
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:JANE
Other - Last Name:KORESKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MA, LMFT
Mailing Address - Street 1:303 VIRGINIA CIR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8918
Mailing Address - Country:US
Mailing Address - Phone:724-570-3770
Mailing Address - Fax:888-358-9345
Practice Address - Street 1:303 VIRGINIA CIR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8918
Practice Address - Country:US
Practice Address - Phone:724-570-3770
Practice Address - Fax:888-358-9345
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000535106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist