MEDICARE: DEBRA TRUCCO MS, 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	PC000735	PA

General Provider Information

NPI Number	:	1669849972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA TRUCCO MS, LPC

Provider Business Mailing Address
First Line	:	3201 SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-8741
Country	:	US
Telephone Number	:	717-241-2345
Fax Number	:	717-245-9099

Provider Business Practice Location Address
First Line	:	781 POPLAR CHURCH RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2314
Country	:	US
Telephone Number	:	717-241-2345
Fax Number	:	717-245-9099

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

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	08/24/2015

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