Individual
MR. ANDREW KENNETH KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3117 COLONIAL AVE, ERIE, PA 16506-1836
(814) 923-3110
Mailing address
3117 COLONIAL AVE, ERIE, PA 16506-1836
(814) 923-3110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC010701
—
PA
Enumeration date
08/25/2020
Last updated
06/13/2023
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