Individual
KATELYN MARIE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MED, LAPC
Contact information
Practice address
665 PHILADELPHIA ST STE 202, INDIANA, PA 15701-3941
(724) 465-2605
Mailing address
35 POINT ST, BLAIRSVILLE, PA 15717-9640
(814) 397-5408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
APC000952
PA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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