Healthcare Provider Details

I. General information

NPI: 1306685904
Provider Name (Legal Business Name): CECILIA WISHNESKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 LINCOLN AVE
BELLEVUE PA
15202-3530
US

IV. Provider business mailing address

337 W LEMON ST APT 1
LANCASTER PA
17603-2944
US

V. Phone/Fax

Practice location:
  • Phone: 412-368-6096
  • Fax:
Mailing address:
  • Phone: 610-470-0309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020302
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: