Healthcare Provider Details

I. General information

NPI: 1669028726
Provider Name (Legal Business Name): JOY CHESTER LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 ROCK SPRINGS RD
CONOWINGO MD
21918-1352
US

IV. Provider business mailing address

557 GARVINE MILL RD
FAWN GROVE PA
17321-9440
US

V. Phone/Fax

Practice location:
  • Phone: 410-378-9696
  • Fax: 410-378-9922
Mailing address:
  • Phone: 410-458-5712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC13119
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: