Organization
ASHLEY FEDOR ,LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FEDOR LPC, NCC (LICENSED PROFESIONAL THERAPIST)
(814) 397-3976
Entity
Organization
Contact information
Practice address
1946 W 26TH ST STE 19B, ERIE, PA 16508-1165
(814) 397-3976
(814) 480-0427
Mailing address
3630 OAKWOOD ST, ERIE, PA 16508-2257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC006335
PA
Other
Enumeration date
08/15/2017
Last updated
04/17/2019
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