Individual
JESSICA KARLA HERVATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6838 ROUTE 219, LEWIS RUN, PA 16738-2426
(814) 598-7641
Mailing address
6838 ROUTE 219, LEWIS RUN, PA 16738-2426
(814) 598-7641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC000706
PA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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