Individual
JENA RAE FREY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S ALLEN ST STE 326, STATE COLLEGE, PA 16801-4851
(814) 531-5659
Mailing address
315 S ALLEN ST STE 326, STATE COLLEGE, PA 16801-4851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010710
PA
Other
Enumeration date
08/10/2021
Last updated
03/03/2023
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