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Organization
LIFE WALK COUSELING SERVICES
Active
Organization
LIFE WALK COUSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L. KAHL NCC, CCDP-D, CPRP (THERAPIST- OWNER)
(814) 849-4906
Entity
Organization
Contact information
Practice address
115 MABON ST, BROOKVILLE, PA 15825-1412
(814) 849-4906
Mailing address
115 MABON ST, BROOKVILLE, PA 15825-1412
(814) 849-4906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO NOT HAVE ONE
I AM TRYING TO APPLY
PA
01
—
DO NOT HAVE ONE YET
I AM TRYING TO APPLY
PA
Enumeration date
05/29/2015
Last updated
05/29/2015
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