Eugena Patackas
Counselor Mental Health Counselor
106 Colburn Ave
Clarks Summit
, Pennsylvania 18411-1569
Eugena Patackas
Counselor Mental Health Counselor
106 Colburn Ave
Clarks Summit
, Pennsylvania 18411-1569
(570) 687-7495
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About
Features
Specialties
- Counselor
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Eugena Patackas
- 717 E Pine St
- Olyphant, PA
- Zip : 18447-1934
- Phone : (570) 687-7495
Second Address
- Eugena Patackas
- 106 Colburn Ave
- Clarks Summit, PA
- Zip : 18411-1569
- Phone : (570) 687-7495
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101Y00000X | Counselor | ||
| N | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003299397 |
|---|---|
| Provider Name | Eugena Patackas |
| First Address | Olyphant, PA 18447-1934 |
| Second Address | Clarks Summit, PA 18411-1569 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2015 |
| Last Update Date | 04/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.