Individual
BRENDA LEE MCKIBBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
837 5TH AVE, FORD CITY, PA 16226-1108
(724) 763-7600
(724) 763-7693
Mailing address
837 5TH AVE, FORD CITY, PA 16226-1108
(724) 763-7600
(724) 763-7693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012639
PA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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