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Organization
KELLIE L. VALENTINE LPC LLC
Active
Organization
KELLIE L. VALENTINE LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLIE LEE VALENTINE LPC (MENTAL HEALTH THERAPIST)
(814) 871-6333
Entity
Organization
Contact information
Practice address
208 E BAYFRONT PKWY, SUITE 200, ERIE, PA 16507-2414
(814) 871-6333
(814) 871-6335
Mailing address
208 E BAYFRONT PKWY, SUITE 200, ERIE, PA 16507-2414
(814) 871-6333
(814) 871-6335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003467
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102667010001
—
PA
Enumeration date
06/26/2015
Last updated
06/26/2015
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