Individual
MRS. DIANE ELAINE KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
131 MATHEWS ST, SUITE 1501, GREENSBURG, PA 15601-6939
(412) 973-4617
Mailing address
35 SYCAMORE ST, TRAFFORD, PA 15085-1825
(412) 856-4681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
PC004926
PA
101YP2500X
Professional Counselor
Primary
PC004926
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728509
—
PA
Enumeration date
04/10/2009
Last updated
11/21/2014
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