Provider Demographics
NPI:1295512317
Name:TREXLER, LEOROSIE NABOR (LPC)
Entity type:Individual
Prefix:
First Name:LEOROSIE
Middle Name:NABOR
Last Name:TREXLER
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 1:7911 ADMIRAL PEARY HWY
Mailing Address - Street 2:
Mailing Address - City:CRESSON
Mailing Address - State:PA
Mailing Address - Zip Code:16630-1515
Mailing Address - Country:US
Mailing Address - Phone:808-521-1452
Mailing Address - Fax:
Practice Address - Street 1:1018 POWELL AVE
Practice Address - Street 2:
Practice Address - City:CRESSON
Practice Address - State:PA
Practice Address - Zip Code:16630-1450
Practice Address - Country:US
Practice Address - Phone:808-521-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA014160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional