Individual
MALLERY LYNN VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 PEACH ST, ERIE, PA 16501-2109
(800) 805-6989
Mailing address
1926 AVON DR, ERIE, PA 16509-3428
(814) 462-8479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NA
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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