Individual
AUDRA SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LBS
Contact information
Practice address
1103 ROCKY RD STE 202, WEST LAWN, PA 19609-1166
(484) 272-2604
Mailing address
385 MAIN ST, MOHRSVILLE, PA 19541-8841
(484) 272-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC019144
PA
Other
Enumeration date
12/01/2022
Last updated
01/05/2026
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