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Individual
LORETTA ELLEN EBERLE
Active
Individual
LORETTA ELLEN EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC008354
PA
101YP2500X
Professional Counselor
Primary
PC008354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013500222
—
PA
Enumeration date
06/09/2017
Last updated
06/09/2017
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