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Individual
MS. PATRICIA CRANNY LAVELLE
Active
Individual
MS. PATRICIA CRANNY LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMFT1063
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH 2066
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4998513
BLUE CROSS BLUE SHIELD
—
05
—
6575452
—
SD
Enumeration date
12/14/2005
Last updated
03/06/2025
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