Individual
CAITLIN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 E CHOCOLATE AVE, HERSHEY, PA 17033-1117
(717) 204-4310
Mailing address
866 S HARRISON ST, PALMYRA, PA 17078-3224
(717) 204-4310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011124
PA
Other
Enumeration date
03/14/2019
Last updated
02/02/2022
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