Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1285178079 |
---|---|
Provider Name | Hugh Martin Vrablic |
First Address | Lansford, PA 18232 |
Second Address | Lansford, PA 18232-1905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2016 |
Last Update Date | 17/03/2018 |