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Organization
WILLOW HAVEN COUNSELING LLC
Active
Organization
WILLOW HAVEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JENSEN LPC, NBCC (OWNER AND LPC)
(814) 232-7112
Entity
Organization
Contact information
Practice address
1714 MAIN ST, BLAKELY, PA 18447-1362
(814) 232-7112
Mailing address
429 HEMLOCK ST, JERMYN, PA 18433-1205
(814) 232-7112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
07/12/2024
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