Most Relevant Information
Provider Data
| NPI Number: | 1003299397 |
| Provider Name: | EUGENA PATACKAS MS LBS LPC NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2015 |
| Last Updated: | 11/04/2015 |
Provider Practice Location
106 COLBURN AVE
CLARKS SUMMIT
PA
184111569
Practice Location Phone/Fax
| Phone: | 5706877495 |
| Fax: |
Provider Mailing Location
717 E PINE ST
OLYPHANT
PA
184471934
Provider Mailing Phone/Fax
| Phone: | 5706877495 |
| Fax: |