Individual
KYLEE ANN METZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAADC, CCTP
Contact information
Practice address
1170 S STATE ST, EPHRATA, PA 17522-2601
(717) 859-8000
Mailing address
509 N WATER ST, LITITZ, PA 17543-1218
(724) 674-9194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9959
PA
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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