Organization
A PLACE FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NICOLE RANSOM LPC (LICENSED PROFESSIONAL COUNSELOR)
(570) 660-2803
Entity
Organization
Contact information
Practice address
216 MAIN ST, MILL HALL, PA 17751-1705
(570) 660-2803
Mailing address
216 MAIN ST, MILL HALL, PA 17751-1705
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008736
PA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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