Healthcare Provider Details

I. General information

NPI: 1083559645
Provider Name (Legal Business Name): CHELSEA MARIE TOMBASCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 E BUTLER DR
DRUMS PA
18222-2600
US

IV. Provider business mailing address

136 N KENNEDY DR REAR
MCADOO PA
18237-2008
US

V. Phone/Fax

Practice location:
  • Phone: 570-539-7901
  • Fax:
Mailing address:
  • Phone: 570-956-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: