Individual
JILLIAN P GRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LAPC
Contact information
Practice address
1300 OLD PLANK RD STE 800, MAYFIELD, PA 18433-1973
(570) 878-3833
Mailing address
200 ACADEMY ST APT 105, MOSCOW, PA 18444-9000
(570) 877-2409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC000033
PA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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