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NPI Code Detail

MEDICARE: CHRISTOPHER MARCOLLA

MEDICARE: CHRISTOPHER MARCOLLA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1962010421
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MARCOLLA
Provider Business Mailing Address
First Line : 200 N 7TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17046-5040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 437 N CENTRE ST
Second Line :
City : POTTSVILLE
State : PA
Zip : 17901-1705
Country : US
Telephone Number : 570-728-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2020
Last Update Date : 07/21/2020

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Directions to “ CHRISTOPHER MARCOLLA ” Practice Location

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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.

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