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Organization
ST. MICHAEL'S SANCTUARY, LLC
Active
Organization
ST. MICHAEL'S SANCTUARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON THOMAS LINK LPC (OWNER/OPERATOR)
(814) 243-1563
Entity
Organization
Contact information
Practice address
655 CHURCH ST STE 132, INDIANA, PA 15701-2894
(814) 243-1563
Mailing address
655 CHURCH ST STE 132, INDIANA, PA 15701-2894
(814) 243-1563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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