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Organization
MENTAL-EASE LLC
Active
Organization
MENTAL-EASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AAYESHA JAN (LPC)
(484) 951-7656
Entity
Organization
Contact information
Practice address
1742 CREEK VIEW DR, FOGELSVILLE, PA 18051-1715
(484) 951-7656
Mailing address
1742 CREEK VIEW DR, FOGELSVILLE, PA 18051-1715
(484) 951-7656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013058
LICENSE
PA
Enumeration date
07/23/2021
Last updated
07/23/2021
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