Individual
CHARLENE MICHALAK NEWPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1011 W 38TH ST, ERIE, PA 16508-2540
(814) 504-1507
Mailing address
1011 W 38TH ST, ERIE, PA 16508-2540
(814) 504-1507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004237
PA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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