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NPI Code Detail

MEDICARE: COURTNEY LOUGHLIN

MEDICARE: COURTNEY LOUGHLIN
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 Counselor

General Provider Information

NPI Number : 1316591902
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LOUGHLIN
Provider Business Mailing Address
First Line : 851 COMMERCE BLVD
Second Line :
City : SCRANTON
State : PA
Zip : 18519-1759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 851 COMMERCE BLVD
Second Line :
City : SCRANTON
State : PA
Zip : 18519-1759
Country : US
Telephone Number : 570-489-5561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 01/22/2020

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Directions to “ COURTNEY LOUGHLIN ” Practice Location

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