Danay Roman, LPC

Individual provider Active NPI Professional Counselor · Kingston, PA

NPI 1447092572 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1447092572
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC016379 (PA)
Practice address
451 3Rd Ave
Kingston, PA 18704-5802
Phone
(570) 288-6543
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC016379PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016379 PA Yes

Addresses

Primary practice location

451 3Rd Ave
Kingston, PA 18704-5802

Mailing address

451 3Rd Ave
Kingston, PA 18704-5802
Phone (570) 288-6543

Other providers in Kingston, PA

All providers in Kingston, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.