Individual
MS. MARY JANE THARP BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC, CEAP
Contact information
Practice address
3610 CHERRY ST, ERIE, PA 16508-2608
(814) 459-5088
(814) 453-7545
Mailing address
3610 CHERRY ST, ERIE, PA 16508-2608
(814) 459-5088
(814) 453-7545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC002482
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC002482
LICENSED PROFESSIONAL COU
PA
Enumeration date
03/11/2006
Last updated
06/11/2010
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