Individual
JESSICA HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
417 MAIN ST, JOHNSTOWN, PA 15901-1808
(814) 254-4502
Mailing address
417 MAIN ST, JOHNSTOWN, PA 15901-1808
(814) 254-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC008822
PA
Other
Enumeration date
09/18/2013
Last updated
04/12/2016
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