Individual
MRS. PAIGE LILLY-IVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(610) 915-8613
Mailing address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(610) 915-8613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/16/2021
Last updated
12/19/2022
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