Individual
HEATHER ELISE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
330 WAYNE AVE, DU BOIS, PA 15801-1486
(814) 591-3593
Mailing address
330 WAYNE AVE, DU BOIS, PA 15801-1486
(814) 591-3593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011425
PA
Other
Enumeration date
06/04/2019
Last updated
01/05/2020
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