Provider Demographics
NPI:1285358044
Name:CZACHOR, LAUREN (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CZACHOR
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:PA
Mailing Address - Zip Code:18444-6008
Mailing Address - Country:US
Mailing Address - Phone:570-483-8838
Mailing Address - Fax:
Practice Address - Street 1:129 BROOK ST
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:PA
Practice Address - Zip Code:18444-6008
Practice Address - Country:US
Practice Address - Phone:570-483-8838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional