Individual
AUDRA HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 321-4181
Mailing address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 238-1880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC010570
PA
Other
Enumeration date
03/12/2019
Last updated
09/17/2020
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