Individual
KELLY CORINNE BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
315 S ALLEN ST STE 326, STATE COLLEGE, PA 16801
(814) 865-2191
(148) 638-1331
Mailing address
1850 E PARK STREET, SUITE 207, STATE COLLEGE, PA 16803-6706
(814) 235-2480
(814) 235-2452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
09/22/2020
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