Provider Demographics
NPI:1831593235
Name:KEARNEY, ANTHONY ANDREW (MS, CAADC, LPC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ANDREW
Last Name:KEARNEY
Suffix:
Gender:M
Credentials:MS, CAADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 N ABINGTON RD
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:PA
Mailing Address - Zip Code:18414-9624
Mailing Address - Country:US
Mailing Address - Phone:570-587-5117
Mailing Address - Fax:
Practice Address - Street 1:1021 MOOSIC ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-4550
Practice Address - Country:US
Practice Address - Phone:570-961-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional