Provider Demographics
NPI:1629830591
Name:LAQUIDARA, JOSEPH ANTHONY (LPC, CAADC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:LAQUIDARA
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Gender:M
Credentials:LPC, CAADC
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Mailing Address - Street 1:143 WEST MAIN STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428
Mailing Address - Country:US
Mailing Address - Phone:814-347-5018
Mailing Address - Fax:814-347-5186
Practice Address - Street 1:143 WEST MAIN STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428
Practice Address - Country:US
Practice Address - Phone:814-347-5018
Practice Address - Fax:814-347-5186
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC016406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional