Organization
BEATRIX VON WATZDORF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIX VON WATZDORF LPC, NCC (SOLE MEMBER)
(484) 817-1220
Entity
Organization
Contact information
Practice address
2884 GALLOWS HILL RD, RIEGELSVILLE, PA 18077-9737
(484) 817-1220
Mailing address
2884 GALLOWS HILL RD, RIEGELSVILLE, PA 18077-9737
(484) 817-1220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003665
PA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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