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NPI Code Detail

MEDICARE: BRADLEY GUARNERI LPC, NCC

MEDICARE: BRADLEY GUARNERI LPC, NCC
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
1101YP2500XProfessional CounselorPC004808PA

General Provider Information

NPI Number : 1295159762
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY GUARNERI LPC, NCC
Provider Business Mailing Address
First Line : 1251 WYOMING AVE
Second Line :
City : EXETER
State : PA
Zip : 18643-1434
Country : US
Telephone Number : 570-342-8434
Fax Number : 570-299-2521
Provider Business Practice Location Address
First Line : 470 WYOMING AVE
Second Line :
City : KINGSTON
State : PA
Zip : 18704-3603
Country : US
Telephone Number : 570-342-8434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2014
Last Update Date : 02/05/2026

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