Provider Demographics
NPI:1841495983
Name:JURYEA, BAMBI L (MA)
Entity type:Individual
Prefix:MS
First Name:BAMBI
Middle Name:L
Last Name:JURYEA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:ATTN MANAGED CARE
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5046
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:938 PENN ST
Practice Address - Street 2:PENNSYLVANIA COUNSELING SERVICES READING CITY
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602
Practice Address - Country:US
Practice Address - Phone:610-478-8088
Practice Address - Fax:610-478-4884
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health