Most Relevant Information
Provider Data
| NPI Number: | 1003497579 |
| Provider Name: | NIKOLE MARIE KROSECZ BS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2021 |
| Last Updated: | 04/16/2021 |
Provider Practice Location
801 E GREEN ST
ALLENTOWN
PA
181091825
Practice Location Phone/Fax
| Phone: | 6107998910 |
| Fax: |
Provider Mailing Location
382 YORKSHIRE DR
BETHLEHEM
PA
180171738
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |