Individual
CHARLA LILLIAN MAGRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1107 W COLLEGE AVE, STATE COLLEGE, PA 16801-2823
(814) 325-0280
Mailing address
1107 W COLLEGE AVE, STATE COLLEGE, PA 16801-2823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC011828
PA
Other
Enumeration date
07/14/2016
Last updated
11/13/2019
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