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Individual

MS. CAROL JAYNE MCFALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2214 N ATHERTON ST, SUITE 4, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569
Mailing address
2214 N ATHERTON ST, SUITE 4, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001937
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024450420001
PA
Enumeration date
05/23/2007
Last updated
02/04/2013
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