MEDICARE: MS. DEBRA A PAVLICO MS, NCC, LPC

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
1	101YP2500X	Professional Counselor	PC005761	PA

General Provider Information

NPI Number	:	1508111881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA A PAVLICO MS, NCC, LPC

Provider Business Mailing Address
First Line	:	480 PIERCE ST
Second Line	:	NEW BRIDGE CENTER, SUITE 206
City	:	KINGSTON
State	:	PA
Zip	:	18704-5512
Country	:	US
Telephone Number	:	570-814-0808
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 PIERCE ST
Second Line	:	NEW BRIDGE CENTER, SUITE 206
City	:	KINGSTON
State	:	PA
Zip	:	18704-5512
Country	:	US
Telephone Number	:	570-814-0808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2012
Last Update Date	:	08/27/2012

Similar Medicare Providers

1780529255 — C2 COUNSELING GROUP LLC
Practice Location Address:

480 PIERCE ST STE 108
KINGSTON, PA
18704-5512

Practice Phone: 570-262-4786
Practice Fax: 570-763-7852

1467451591 — DR. PAUL THOMAS TAREN PH.D.
Practice Location Address:

480 PIERCE ST , SUITE 115
KINGSTON, PA
18704-5512

Practice Phone: 570-718-1740
Practice Fax: 570-718-1741

1093785339 — KATHLEEN KLEMER GUMIENNY LCSW C
Practice Location Address:

480 PIERCE ST , #305
KINGSTON, PA
18704-5512

Practice Phone: 410-991-2077
Practice Fax: 570-696-1526

1750323606 — KATHLEEN BARNO PT
Practice Location Address:

480 PIERCE ST , SUITE 206
KINGSTON, PA
18704-5512

Practice Phone: 570-714-6460
Practice Fax:

1255373155 — KEVIN BARNO PT
Practice Location Address:

480 PIERCE ST , SUITE 206
KINGSTON, PA
18704-5512

Practice Phone: 570-714-6460
Practice Fax:

1447346234 — DENNIS R. GOURLEY LCSW
Practice Location Address:

480 PIERCE STREET , SUITE 112
KINGSTON, PA
18704-5512

Practice Phone: 570-714-0890
Practice Fax: 570-714-0890

1437201506 — CLNICAL NEURODIAGNOSTICS
Practice Location Address:

480 PIERCE ST STE 215
KINGSTON, PA
18704-5512

Practice Phone: 570-288-7181
Practice Fax: 570-288-7633

Directions to “ MS. DEBRA A PAVLICO MS, NCC, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.