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Individual

MRS. ELLEN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC, ET, MA

Contact information

Practice address
268 HOSTETLER RD, JOHNSTOWN, PA 15904-3728
(814) 259-6509
Mailing address
300 SANRUE DR, JOHNSTOWN, PA 15904-3642
(814) 254-6215

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PA
101YM0800X
Mental Health Counselor
225A00000X
Music Therapist
PA

Other

Enumeration date
09/09/2016
Last updated
06/13/2022
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