Individual
MISS ALISSA ANGELA ERB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.B.S., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011071
PA
103K00000X
Behavior Analyst
BH003808
PA
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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