Individual
BLANCA LISBETH KHALIFEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
536 BELL STREET EXT, LIGONIER, PA 15658-8704
(213) 663-0325
Mailing address
1017 STANFORD AVE, JOHNSTOWN, PA 15905-1523
(213) 663-0325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
101356
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/28/2016
Last updated
01/29/2024
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