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Individual

MRS. DOROTHY A WELLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,NCC,LPC

Contact information

Practice address
341 STORY RD, EXPORT, PA 15632-2666
(724) 468-3999
(724) 468-0039
Mailing address
108 HERMITAGE CIR, LIGONIER, PA 15658-2418
(724) 875-1450

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC005183
PA
101YM0800X
Mental Health Counselor
Primary
PC005183
PA

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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