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NPI Code Detail

MEDICARE: VANESSA TOCKET LPC

MEDICARE: VANESSA TOCKET LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPC000427PA
2101YM0800XMental Health CounselorPC019994PA

General Provider Information

NPI Number : 1578387171
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA TOCKET LPC
Provider Business Mailing Address
First Line : 991 CENTER ST
Second Line :
City : NANTICOKE
State : PA
Zip : 18634-4016
Country : US
Telephone Number : 570-690-0676
Fax Number :
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number : 570-762-9011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 02/10/2026

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Directions to “ VANESSA TOCKET LPC” Practice Location

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