Individual
ALYSON EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MS
Contact information
Practice address
1611 PEACH ST, ERIE, PA 16501-2109
(814) 835-3126
Mailing address
2445 W 34TH ST, ERIE, PA 16506-3549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010289
PA
Other
Enumeration date
03/15/2018
Last updated
03/17/2018
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