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NPI Code Detail

MEDICARE: MRS. KIMBERLY SUE MARSICO M.S., LPC

MEDICARE: MRS. KIMBERLY SUE MARSICO M.S., 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
1101YP2500XProfessional CounselorPC006585PA

General Provider Information

NPI Number : 1588909691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY SUE MARSICO M.S., LPC
Provider Business Mailing Address
First Line : 4201 CRUMS MILL RD STE 200
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-2893
Country : US
Telephone Number : 610-892-3800
Fax Number :
Provider Business Practice Location Address
First Line : 4201 CRUMS MILL RD STE 200
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-2893
Country : US
Telephone Number : 610-892-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 12/15/2025

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