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Individual
MS. MAUREEN ELLEN VITA
Active
Individual
MS. MAUREEN ELLEN VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12-006
PA
101YP2500X
Professional Counselor
Primary
PC006899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-006
ATR-BC
PA
01
—
PC006899
LPC
PA
Enumeration date
06/24/2015
Last updated
06/24/2015
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