Organization
INTEGRATIVE LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH REGNER LPC (OWNER)
(570) 295-4674
Entity
Organization
Contact information
Practice address
309 N GEORGE ST, MILLERSVILLE, PA 17551-1523
(570) 295-4674
Mailing address
456 MANOR VIEW DR, MILLERSVILLE, PA 17551-2016
(570) 295-4674
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC007763
—
PA
Enumeration date
02/02/2021
Last updated
02/02/2021
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