Individual
MRS. KIMBERLY MARIE BEACHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1359 W 6TH ST, ERIE, PA 16505-2503
(814) 455-1301
(814) 455-1301
Mailing address
5724 OBED HEIGHTS DR, EDINBORO, PA 16412-4006
(814) 397-1473
(814) 455-1301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC003043
PA
Other
Enumeration date
03/07/2006
Last updated
02/15/2011
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