Individual
MRS. ALICIA ELLEN BUNK
Active
Individual
MRS. ALICIA ELLEN BUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,LPC,NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006712
PA
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032959600001
—
PA
Enumeration date
12/14/2010
Last updated
05/29/2019
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